| Lee And Yoo Dental Corporation | |
|
1139 North Mount Vernon Ave Colton CA 92324 | |
| (909) 777-5900 | |
| (909) 777-5909 |
| Full Name | Lee And Yoo Dental Corporation |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1139 North Mount Vernon Ave, Colton, California |
| Authorized Official Name and Position | Kyu Hoon Lee (PRESIDENT) |
| Authorized Official Contact | 9097775900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lee And Yoo Dental Corporation 1139 North Mount Vernon Ave Colton CA 92324 Ph: (909) 777-5900 | Lee And Yoo Dental Corporation 1139 North Mount Vernon Ave Colton CA 92324 Ph: (909) 777-5900 |
| NPI Number | 1316074636 |
|---|---|
| Provider Enumeration Date | 02/27/2007 |
| Last Update Date | 06/26/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316074636 | NPI | - | NPPES |
| G9398101 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 50772 (California) | Secondary |
| 1223G0001X | Dentist - General Practice | 51676 (California) | Primary |
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