Organization
NOMI LEE DENTAL GROUP INC
Active
Parent organization
NOMI LEE DENTAL INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
NOMI LEE DENTAL INC
Authorized official
NOMI LEE DDS (OWNER)
(909) 825-3210
Entity
Organization
Contact information
Practice address
1636 E WASHINGTON ST, COLTON, CA 92324-4605
(909) 825-3210
(909) 512-6897
Mailing address
1636 E WASHINGTON ST, COLTON, CA 92324-4605
(909) 825-3210
(909) 512-6897
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
01/04/2019
Last updated
01/04/2019
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