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Richard I Sutedja, DDS
General Practice Dentistry in Fremont, California
NPI 1235337536

Richard I Sutedja is a General Practice Dentistry based in Fremont, CA and is specialized in General Practice. Richard I Sutedja practices in Fremont, CA and has the professional credentials of DDS. The NPI Number for Richard I Sutedja is 1235337536 and holds a License No. 33710 (California).

The current practice location address for Richard I Sutedja is 4545 Mattos Dr, Fremont, CA and can be reached out via phone at 510-797-3769 and via fax at 510-797-3154.

Location: 4545 Mattos Dr, Fremont, CA, 94536-6736
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1235337536
Provider Name
Richard I Sutedja
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
4545 Mattos Dr, Fremont, CA, 94536-6736
Phone Number
510-797-3769
Fax Number
510-797-3154
Provider Enumeration Date
07/07/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4545 Mattos Dr
City
Fremont
State
California
Zip
94536-6736
Phone Number
510-797-3769
Fax Number
510-797-3154
person
Provider Business Mailing Address Details
Address
4545 Mattos Dr
City
Fremont
State
California
Zip
94536-6736
Phone Number
510-797-3769
Fax Number
510-797-3154
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
33710 (California)
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.
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