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Peter Sumarsono Professional Dental Corporation
Preferred Provider Organization in Huntington Beach, California
NPI 1033596788

Peter Sumarsono Professional Dental Corporation is a Preferred Provider Organization based in Yorba Linda, CA. Peter Sumarsono Professional Dental Corporation practices in Huntington Beach, CA. The NPI Number for Peter Sumarsono Professional Dental Corporation is 1033596788 and holds a License No. 40736 (California).

The current practice location address for Peter Sumarsono Professional Dental Corporation is 9110 Adams Avenue, Huntington Beach, CA and can be reached out via phone at 714-968-4487 and via fax at 714-968-1146.

Location: 9110 Adams Avenue, Huntington Beach, CA, 92886
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1033596788
Provider Name
Peter Sumarsono Professional Dental Corporation
Credential
Provider Entity Type
Organization
Address
9110 Adams Avenue, Huntington Beach, CA, 92886
Phone Number
714-968-4487
Fax Number
714-968-1146
Provider Enumeration Date
05/01/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
9110 Adams Avenue
City
Huntington Beach
State
California
Zip
92646
Phone Number
714-968-4487
Fax Number
714-968-1146
person
Provider Business Mailing Address Details
Address
9110 Adams Avenue
City
Huntington Beach
State
California
Zip
92646
Phone Number
714-968-4487
Fax Number
714-968-1146
person
Provider's Taxonomy Details 1
Type
Managed Care Organizations
Classification
Preferred Provider Organization
Speciality
-
Taxonomy
305R00000X
License No.
40736 (California)
Definition
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.
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