Lee and Yoo Dental Corporation

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

51676 Issued in CA

Legal business name

LEE AND YOO DENTAL CORPORATION

Practice address

1139 North Mount Vernon Ave
Colton, CA 92324

Phone

(909) 777-5900

Fax

(909) 777-5909

NPI assigned

Feb 27, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Kyu Hoon Lee, DMD

Title

President

Phone

(909) 777-5900

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214438400000",
    "number": "1316074636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1139 NORTH MOUNT VERNON AVE",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "92324",
            "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 NORTH MOUNT VERNON AVE",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "92324",
            "telephone_number": "909-777-5900",
            "fax_number": "909-777-5909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEE AND YOO DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2008-06-26",
        "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": "909-777-5900",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "50772",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "51676",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G9398101",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tina H Le, PHARM.D.
• Carolyn Suzanne Leach, M.D.
• Julia Christine Leal-Watkins, MS
• Cassanda Ledesma, OT
• Giselle Guadalupe Ledesma
• Calvin Lee, DO
• Carol Hyeun Lee, M.D
• David Lee, MD
• Erik Lee, DO
• Harry Lee

• General Practice Dentistry in Colton, CA
• Providers in Colton, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2008; 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.