Lee & Widodo Dds Inc

LBN: Lee & Widodo Dds Inc
Lee & Widodo Dds Inc is an health care organization with primary practice located at 5562 Philadelphia St Ste 103 , Chino CA 91710. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Ambulatory Health Care Facilities / Dental. Dental Providers / General Practice is the primary health care specialty. Lee & Widodo Dds Inc can be contacted via phone (909) 670-1100, or through Widodo, Andre via phone (909) 670-1100.

Contact Information

Primary practice address
5562 Philadelphia St Ste 103 Chino CA 91710
Phone: (909) 670-1100
Fax: (909) 398-0026
Website:
Map and Directions
Authorized official contact:
Name: Widodo, Andre Doctor of Dental Surgery (DDS)
Phone: (909) 670-1100

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X
Ambulatory Health Care Facilities / Dental 261QD0000X 46152 California

Profile Details

NPI number 1184972135
LBN Legal business name Lee & Widodo Dds Inc
DBA Doing business as
Authorized official Widodo, Andre Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 23rd, 2012
Last updated May 11th, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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