Chong Il Lee D.d.s a Professional Corporation
NPI #1164675195 in Ontario, California
Provider Information
- NPI Number
- 1164675195
- Entity Type
- Organization
- Organization Name
- Chong Il Lee D.d.s a Professional Corporation
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Nov 4, 2008
- Last Updated
- Nov 4, 2008
Practice Location
- Address
- 1739 S EUCLID AVE STE A
- City
- Ontario
- State
- California
- ZIP Code
- 91762-5831
- Phone
- (909) 983-9325
Authorized Official
- Name
- DR. CHONG IL LEE, D.D.S
- Title
- PRESIDENT
- Phone
- (909) 983-9325
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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