Kyu H Lee Dmd,inc
Dentist in Colton, CA. Organization (NPI-2).
NPI number1124493499
StatusActive
Last updated in NPPESDec 11, 2015
Details
- NPI
- 1124493499
- Entity type
- Organization (NPI-2)
- Legal business name
- Kyu H Lee Dmd,inc
- Organization subpart
- No
- Enumeration date
- Dec 11, 2015
- Last updated
- Dec 11, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 50772 | CA | Yes |
Practice location
1139 N Mount Vernon AveColton, CA 92324-2554
Phone 909-777-5900 · Fax 909-777-5909
Mailing address
1139 N Mount Vernon AveColton, CA 92324-2554
Phone 909-777-5900 · Fax 909-777-5909
Authorized official
Kyu Hoon Lee
President
9512832048
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