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Andy Kusumo Dds Inc
General Practice Dentistry in Anaheim, California
NPI 1255721254

Andy Kusumo Dds Inc is a General Practice Dentistry based in Anaheim, CA and is specialized in General Practice. Andy Kusumo Dds Inc practices in Anaheim, CA. The NPI Number for Andy Kusumo Dds Inc is 1255721254 and holds a License No. 49917 (California).

The current practice location address for Andy Kusumo Dds Inc is 501 N Brookhurst St Ste 100, Anaheim, CA and can be reached out via phone at 657-201-3084.

Location: 501 N Brookhurst St Ste 100, Anaheim, CA, 92804-2525
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1255721254
Provider Name
Andy Kusumo Dds Inc
Credential
Provider Entity Type
Organization
Address
501 N Brookhurst St Ste 100, Anaheim, CA, 92804-2525
Phone Number
657-201-3084
Fax Number
Provider Enumeration Date
01/28/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
501 N Brookhurst St Ste 100
City
Anaheim
State
California
Zip
92801-5202
Phone Number
657-201-3084
Fax Number
person
Provider Business Mailing Address Details
Address
501 N Brookhurst St Ste 100
City
Anaheim
State
California
Zip
92801-5202
Phone Number
657-201-3084
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
49917 (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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