| Inland Empire Dental Group | |
|
1049 W Foothill Blvd Upland CA 91786-3731 | |
| (909) 985-1966 | |
| Not Available |
| Full Name | Inland Empire Dental Group |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1049 W Foothill Blvd, Upland, California |
| Authorized Official Name and Position | Danny Ik Sung Lee (PRESIDENT) |
| Authorized Official Contact | 9099851966 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Inland Empire Dental Group 1049 W Foothill Blvd Upland CA 91786-3731 Ph: (909) 985-1966 | Inland Empire Dental Group 1049 W Foothill Blvd Upland CA 91786-3731 Ph: (909) 985-1966 |
| NPI Number | 1891018834 |
|---|---|
| Provider Enumeration Date | 03/04/2010 |
| Last Update Date | 03/04/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891018834 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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