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Peter Sumarsono Professional Dental Corporation
Preferred Provider Organization in Irvine, California
NPI 1326443920

Peter Sumarsono Professional Dental Corporation is a Preferred Provider Organization based in Irvine, CA. Peter Sumarsono Professional Dental Corporation practices in Irvine, CA. The NPI Number for Peter Sumarsono Professional Dental Corporation is 1326443920 and holds a License No. 40736 (California).

The current practice location address for Peter Sumarsono Professional Dental Corporation is 4605 Barranca Parkway., 200, Irvine, CA and can be reached out via phone at 714-864-8261. You can also correspond with Peter Sumarsono Professional Dental Corporation through the mailing address at 4605 BARRANCA PKWY STE 200, IRVINE, CA - 92604-1729 (mailing address contact number: 714-864-8261).

Location: 4605 Barranca Parkway., 200, Irvine, CA, 92604-1729
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1326443920
Provider Name
Peter Sumarsono Professional Dental Corporation
Credential
Provider Entity Type
Organization
Address
4605 Barranca Parkway., 200, Irvine, CA, 92604-1729
Phone Number
714-864-8261
Fax Number
Provider Enumeration Date
10/27/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4605 Barranca Parkway., 200
City
Irvine
State
California
Zip
92604
Phone Number
714-864-8261
Fax Number
person
Provider Business Mailing Address Details
Address
4605 Barranca Parkway., 200
City
Irvine
State
California
Zip
92604
Phone Number
714-864-8261
Fax Number
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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