| Lee & Widodo Dds Inc | |
|
5562 Philadelphia St Ste 103 Chino CA 91710 | |
| (909) 670-1100 | |
| (909) 398-0026 |
| Full Name | Lee & Widodo Dds Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5562 Philadelphia St Ste 103, Chino, California |
| Authorized Official Name and Position | Andre Widodo (OWNER) |
| Authorized Official Contact | 9096701100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lee & Widodo Dds Inc 5562 Philadelphia St Ste 103 Chino CA 91710 Ph: (909) 670-1100 | Lee & Widodo Dds Inc 5562 Philadelphia St Ste 103 Chino CA 91710 Ph: (909) 670-1100 |
| NPI Number | 1184972135 |
|---|---|
| Provider Enumeration Date | 08/23/2012 |
| Last Update Date | 05/11/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184972135 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
| 261QD0000X | Clinic/center - Dental | 46152 (California) | Secondary |
Dentistry Today Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 12385 Central Ave, Unit # A, Chino, CA 91710 Phone: 909-628-4141 Fax: 909-628-4121 | |
On Call Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 12194 Central Ave, Chino, CA 91710 Phone: 909-591-0316 | |
Softcare Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3686 Riverside Dr, Ste G, Chino, CA 91710 Phone: 909-591-1299 Fax: 909-591-5899 | |
Doc Chung Dental Group - Chino, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 13197 Central Ave Ste 103, Chino, CA 91710 Phone: 909-627-8501 Fax: 909-627-1784 | |
Sarah J Sibbach Dmd, Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 13788 Roswell Ave, #100, Chino, CA 91710 Phone: 610-390-4058 | |
Grandview Endodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 13768 Roswell Ave Ste 210, Chino, CA 91710 Phone: 909-591-1055 | |
Delicate Smiles Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4531 Philadelphia St, Unit 107, Chino, CA 91710 Phone: 909-902-9100 Fax: 909-902-9112 |