Kyu H Lee DMD,Inc

Primary specialty

DentistTaxonomy code 122300000X

License

50772 Issued in CA

Legal business name

KYU H LEE DMD,INC

Practice address

1139 N Mount Vernon Ave
Colton, CA 92324-2554

Phone

(909) 777-5900

Fax

(909) 777-5909

NPI assigned

Dec 11, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kyu Hoon Lee

Title

President

Phone

(951) 283-2048

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1449792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449792000000",
    "number": "1124493499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1139 N MOUNT VERNON AVE",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923242554",
            "telephone_number": "909-777-5900",
            "fax_number": "909-777-5909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1139 N MOUNT VERNON AVE",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923242554",
            "telephone_number": "909-777-5900",
            "fax_number": "909-777-5909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KYU H LEE DMD,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-11",
        "last_updated": "2015-12-11",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "KYU",
        "authorized_official_middle_name": "HOON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-283-2048"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "50772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolyne Njeri Kuria, MD
• Rajeev Nehal Kurian
• Edward Kuzmack
• Eugene Lawrence Kwong, M.D
• Garron Lamech Kyles Jr.
• Joel Labha, D.O.
• Aura Tiy Maeh Labutong
• Cassandra Lai
• Deepa Zubin Laiwalla, D.O.
• Jasemine Monet Lakey, BCBA

• Dentist in Colton, CA
• Providers in Colton, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.