| Kyu H Lee Dmd,inc | |
|
1139 N Mount Vernon Ave Colton CA 92324-2554 | |
| (909) 777-5900 | |
| (909) 777-5909 |
| Full Name | Kyu H Lee Dmd,inc |
|---|---|
| Speciality | Dentist |
| Location | 1139 N Mount Vernon Ave, Colton, California |
| Authorized Official Name and Position | Kyu Hoon Lee (PRESIDENT) |
| Authorized Official Contact | 9512832048 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kyu H Lee Dmd,inc 1139 N Mount Vernon Ave Colton CA 92324-2554 Ph: (909) 777-5900 | Kyu H Lee Dmd,inc 1139 N Mount Vernon Ave Colton CA 92324-2554 Ph: (909) 777-5900 |
| NPI Number | 1124493499 |
|---|---|
| Provider Enumeration Date | 12/11/2015 |
| Last Update Date | 12/11/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124493499 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 50772 (California) | Primary |
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