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LEE & WIDODO DDS INC
NPI 1184972135
Dentist - General Practice in Chino, CA

Active since August 23, 2012
5562 PHILADELPHIA ST STE 103, CHINO, CA 91710(909) 670-1100(909) 398-0026 Get Directions Write a Review

NPPES record last updated: May 11, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 11, 2022, May 2, 2022 (2 updates tracked since 2022).

About Lee & Widodo Dds Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LEE & WIDODO DDS INC (NPI 1184972135) is a healthcare organization registered as a general practice in Chino, California and active in the NPI registry since August 2012. The organization lists Andre Widodo, Owner, as its authorized official.

NPPES Registry Identity

NPI1184972135
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameLEE & WIDODO DDS INC
Location Address5562 PHILADELPHIA ST STE 103Chino, CA 91710
Mailing Address5562 Philadelphia St Ste 103Chino, CA 91710 · (909) 670-1100 · Fax (909) 398-0026
Phone(909) 670-1100
Fax(909) 398-0026
Organization SubpartNo
Authorized OfficialAndre WidodoOwner · (909) 670-1100
Enumeration DateAugust 23, 2012
Last NPPES UpdateMay 11, 20222 updates tracked since enumeration
NPPES CertifiedMay 11, 2022
✔ NPI 1184972135 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Also ListedClinic/Center · DentalTaxonomy 261QD0000X · License 46152 (CA)
5562 PHILADELPHIA ST STE 103, Chino, CA 91710
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lee & Widodo Dds Inc's NPI number?

The NPI number for Lee & Widodo Dds Inc is 1184972135. It was assigned to this organization in the NPPES registry on August 23, 2012.

Where is Lee & Widodo Dds Inc located?

Lee & Widodo Dds Inc is located at 5562 Philadelphia St Ste 103, Chino, CA 91710. The listed phone number is (909) 670-1100.

What is Lee & Widodo Dds Inc's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Lee & Widodo Dds Inc was last updated on May 11, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.