| Cucamonga Peak Endodontics | |
|
11438 Kenyon Way # 3-c Rancho Cucamonga CA 91701-9230 | |
| (909) 945-5262 | |
| (909) 945-5223 |
| Full Name | Cucamonga Peak Endodontics |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 11438 Kenyon Way # 3-c, Rancho Cucamonga, California |
| Authorized Official Name and Position | Jaehoon Lee (OWNER) |
| Authorized Official Contact | 9099455262 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cucamonga Peak Endodontics 11438 Kenyon Way # 3-c Rancho Cucamonga CA 91701-9230 Ph: (909) 945-5262 | Cucamonga Peak Endodontics 11438 Kenyon Way # 3-c Rancho Cucamonga CA 91701-9230 Ph: (909) 945-5262 |
| NPI Number | 1376928481 |
|---|---|
| Provider Enumeration Date | 07/30/2015 |
| Last Update Date | 07/30/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376928481 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | 63274 (California) | Primary |
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