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Didik Suhardjo, DDS
General Practice Dentistry in Los Angeles, California
NPI 1427078211

Didik Suhardjo is a General Practice Dentistry based in Los Angeles, CA and is specialized in General Practice. Didik Suhardjo practices in Los Angeles, CA and has the professional credentials of DDS. The NPI Number for Didik Suhardjo is 1427078211 and holds a License No. 48030 (California).

The current practice location address for Didik Suhardjo is 749 S Union Ave, Los Angeles, CA and can be reached out via phone at 213-483-5616 and via fax at 213-483-5633.

Location: 749 S Union Ave, Los Angeles, CA, 90017-2115
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1427078211
Provider Name
Didik Suhardjo
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
749 S Union Ave, Los Angeles, CA, 90017-2115
Phone Number
213-483-5616
Fax Number
213-483-5633
Provider Enumeration Date
07/21/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
D48030 05 CA
institution
Provider Business Practice Location Address Details
Address
749 S Union Ave
City
Los Angeles
State
California
Zip
90017-2115
Phone Number
213-483-5616
Fax Number
213-483-5633
person
Provider Business Mailing Address Details
Address
749 S Union Ave
City
Los Angeles
State
California
Zip
90017-2115
Phone Number
213-483-5616
Fax Number
213-483-5633
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
48030 (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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