Widodo & Lee DDS a Professional Dental Corp
NPI 1245589282 · Dental Clinic/Center · Pomona, CA
Widodo & Lee DDS a Professional Dental Corp is a Dental Clinic/Center organization in Pomona, CA (NPI 1245589282).
Provider details
- NPI number
- 1245589282
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Andre Widodo, Owner(909) 590-5600
- License
- 46152 (CA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2012-09-06
- Last updated
- 2012-09-06
Frequently asked questions
- What is Widodo & Lee DDS a Professional Dental Corp's NPI number?
- Widodo & Lee DDS a Professional Dental Corp's National Provider Identifier (NPI) is 1245589282, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Widodo & Lee DDS a Professional Dental Corp?
- Widodo & Lee DDS a Professional Dental Corp is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Widodo & Lee DDS a Professional Dental Corp located?
- Widodo & Lee DDS a Professional Dental Corp's practice location on file with NPPES is 2112 S Garey Ave Ste a, Pomona, CA 91766.
- What is Widodo & Lee DDS a Professional Dental Corp's phone number?
- The practice phone number listed in the NPPES registry for Widodo & Lee DDS a Professional Dental Corp is (909) 590-5600.
- Who is the authorized official for Widodo & Lee DDS a Professional Dental Corp?
- The authorized official listed on Widodo & Lee DDS a Professional Dental Corp's NPPES record is Andre Widodo, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Widodo & Lee DDS a Professional Dental Corp's NPI active?
- Yes — Widodo & Lee DDS a Professional Dental Corp's NPI (1245589282) is active in the NPPES registry as of the last update on 2012-09-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.