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Organization
INLAND EMPIRE DENTAL SPECIALTY GROUP
Active
Organization
INLAND EMPIRE DENTAL SPECIALTY GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER CHO DDS (CO OWNER)
(909) 792-8440
Entity
Organization
Contact information
Practice address
415 BROOKSIDE AVE, REDLANDS, CA 92373-4609
(909) 792-8440
(909) 792-9694
Mailing address
415 BROOKSIDE AVE, REDLANDS, CA 92373-4609
(909) 792-8440
(909) 792-9694
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
50740
CA
Other
Enumeration date
09/13/2013
Last updated
09/13/2013
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