Organization
CHONG IL LEE D.D.S A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHONG IL LEE D.D.S (PRESIDENT)
(909) 983-9325
Entity
Organization
Contact information
Practice address
1739 S EUCLID AVE STE A, ONTARIO, CA 91762-5831
(909) 983-9325
(909) 467-9956
Mailing address
1739 S EUCLID AVE STE A, ONTARIO, CA 91762-5831
(909) 983-9325
(909) 467-9956
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
B25931
CA
Other
Enumeration date
11/04/2008
Last updated
11/04/2008
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