Organization
LEE & WIDODO DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY LEE (DDS/OWNER)
(909) 670-1100
Entity
Organization
Contact information
Practice address
1532 SAN BERNARDINO AVE STE A1, POMONA, CA 91767-3559
(909) 670-1100
(909) 398-0026
Mailing address
1532 SAN BERNARDINO AVE STE A1, POMONA, CA 91767-3559
(909) 670-1100
(909) 398-0026
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
49927
CA
Other
Enumeration date
08/09/2012
Last updated
08/09/2012
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