Organization
INLAND EMPIRE DENTAL SPECIALTY GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER CHO DDS (OWNER)
(909) 792-8440
Entity
Organization
Contact information
Practice address
308 W STATE ST, STE. 4A, REDLANDS, CA 92373-4653
(909) 792-8440
(909) 792-9694
Mailing address
308 W STATE ST, STE. 4A, REDLANDS, CA 92373-4653
(909) 792-8440
(909) 792-9694
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
50740
CA
Other
Enumeration date
10/21/2015
Last updated
10/21/2015
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