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1245589282
WIDODO & LEE DDS A PROFESSIONAL DENTAL CORP
POMONA, CA
NPI
1245589282
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Entity Type
Organization
Authorized Contact
ANDRE WIDODO
Owner
909-590-5600
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
(Licence: CA 46152)
Enumeration Date
2012-09-06
Last Update Date
2012-09-06
Business Address
WIDODO & LEE DDS A PROFESSIONAL DENTAL CORP
2112 S GAREY AVE STE A
POMONA, CA 91766
Phone number: 909-590-5600
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Mailing Address
WIDODO & LEE DDS A PROFESSIONAL DENTAL CORP
2112 S GAREY AVE STE A
POMONA, CA 91766
Phone number: 909-590-5600
Copy
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