Organization
CUCAMONGA PEAK ENDODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAEHOON LEE DMD (OWNER)
(909) 945-5262
Entity
Organization
Contact information
Practice address
11438 KENYON WAY # 3-C, RANCHO CUCAMONGA, CA 91701-9230
(909) 945-5262
(909) 945-5223
Mailing address
11438 KENYON WAY # 3-C, RANCHO CUCAMONGA, CA 91701-9230
(909) 945-5262
(909) 945-5223
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
63274
CA
Other
Enumeration date
07/30/2015
Last updated
07/30/2015
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