Diana Lee Dds, Inc. | |
12530 10th St Ste B Chino CA 91710-3520 | |
(909) 627-7514 | |
Not Available |
Full Name | Diana Lee Dds, Inc. |
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Speciality | Dentist - General Practice |
Location | 12530 10th St Ste B, Chino, California |
Authorized Official Name and Position | Diana Lee (CEO) |
Authorized Official Contact | 2135196226 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Diana Lee Dds, Inc. 12530 10th St Ste B Chino CA 91710-3520 Ph: (909) 627-7514 | Diana Lee Dds, Inc. 12530 10th St Ste B Chino CA 91710-3520 Ph: (909) 627-7514 |
NPI Number | 1295228906 |
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Provider Enumeration Date | 06/08/2018 |
Last Update Date | 06/08/2018 |
Identifier | Type | State | Issuer |
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1295228906 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 58342 (California) | Primary |
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