| Diana Lee Dds, Inc. | |
|
12530 10th St Ste B Chino CA 91710-3520 | |
| (909) 627-7514 | |
| Not Available |
| Full Name | Diana Lee Dds, Inc. |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 06/08/2018 |
| Last Update Date | 06/08/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295228906 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 58342 (California) | Primary |
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