Lee & Widodo DDS INC
NPI #1184972135 in Chino, California
Provider Information
- NPI Number
- 1184972135
- Entity Type
- Organization
- Organization Name
- Lee & Widodo DDS INC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Aug 23, 2012
- Last Updated
- May 11, 2022
Practice Location
- Address
- 5562 PHILADELPHIA ST STE 103
- City
- Chino
- State
- California
- ZIP Code
- 91710
- Phone
- (909) 670-1100
Authorized Official
- Name
- ANDRE WIDODO, DDS
- Title
- OWNER
- Phone
- (909) 670-1100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
| Dentist - General Practice — General Practice |
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