Widodo & Lee Dds A Professional Dental Corp
Dental Office
2112 S Garey Ave Ste A, Pomona
California, 91766
909-590-5600 909-590-5606
Maps & DirectionsWidodo & Lee Dds A Professional Dental Corp is a renowned Dental office in Pomona, California. It is located at 2112 S Garey Ave Ste A, Pomona, CA and its contact number is 909-590-5600. The authorized person for Widodo & Lee Dds A Professional Dental Corp is Andre Widodo
who is Owner of the place and their contact number is 909-590-5600. The primary license number for Widodo & Lee Dds A Professional Dental Corp is 46152 (Dental) in California.
Widodo & Lee Dds A Professional Dental Corp Office is a healthcare facility where dedicated dental team composed of licensed professionals, including dentists (DDS or DMD), dental hygienists, dental assistants, and administrative staff (manage appointments, billing, and patient records) provides preventive, diagnostic, and therapeutic oral health services like oral exams and X-rays, fillings, fluoride treatments, teeth cleanings, implants, crowns, bridges, tooth extractions, root canals, and cosmetic procedures such as teeth whitening, braces and veneers to patients through outpatient care.
Complete Profile:
Widodo & Lee Dds A Professional Dental Corp Office speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Widodo & Lee Dds A Professional Dental Corp |
| Specialization: | Dentistry |
| Address: | 2112 S Garey Ave Ste A, Pomona,
California, 91766 |
| Phone: | 909-590-5600 |
| Fax: | 909-590-5606 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this Office are as below. Person's position and contact details are also mentioned below.
| Name: | Andre Widodo |
| Position: | Owner |
| Contact Number: | 909-590-5600 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Widodo & Lee Dds A Professional Dental Corp Office are as mentioned below.
| NPI Number: | 1245589282 |
| NPI Enumeration Date: | 06 Sep, 2012 |
| NPI Last Update On: | 06 Sep, 2012 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Widodo & Lee Dds A Professional Dental Corp are as mentioned below.
| Specialization | License Number | State | Status | |
| Dental | 46152 | California | Primary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Widodo & Lee Dds A Professional Dental Corp
2112 S Garey Ave Ste A,
Pomona, California |
| Zip: | 91766 |
| Phone Number: | 909-590-5600 |
| Fax Number: | 909-590-5606 |
Patients can reach Widodo & Lee Dds A Professional Dental Corp at
2112 S Garey Ave Ste A, Pomona, California or can
call to book an appointment on 909-590-5600.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.