Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lee & Widodo DDS Inc

Organization General Practice Dentistry · NPI 1184972135

Lee & Widodo DDS Inc is a General Practice Dentistry in Chino, California. Licensed in California. Registered with an NPI since 2012.

Licensed in
CA
In the registry since
2012
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

5562 Philadelphia St Ste 103
Chino, CA 91710
Phone: (909) 670-1100
Fax: (909) 398-0026
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X
Dental Clinic/Center Taxonomy 261QD0000X · Licence 46152 (CA)

Record details

NPI number1184972135
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Andre Widodo — Owner · (909) 670-1100
NPI enumeratedAugust 23, 2012
Last updated in NPPESMay 11, 2022
Certification dateMay 11, 2022
Mailing address5562 Philadelphia St Ste 103, Chino, CA 91710

Other providers in Chino