Organization · Type 2 NPI

Widodo & Lee DDS A Professional Dental Corp

Dental Clinic/Center · Pomona, CA

NPI number 1245589282 Active

Practice location

2112 S Garey Ave Ste A
Pomona, CA 91766

Call (909) 590-5600 Map

Fax (909) 590-5606

Specialties and licenses

TaxonomyCodeLicense
Dental Clinic/Center Primary 261QD0000X46152 (CA)

Dental Clinic/Center: Definition to come...

2 other providers at this address

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About NPI 1245589282

Widodo & Lee DDS A Professional Dental Corp's National Provider Identifier is 1245589282, issued on Sep 6, 2012. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Pomona, CA. The record was last updated on Sep 6, 2012.