institution
Andre Widodo Dds A Professional Corporation
Dental Clinic/Center in El Monte, California
NPI 1447583661

Andre Widodo Dds A Professional Corporation is a Dental Clinic/Center based in El Monte, CA and is specialized in Dental. Andre Widodo Dds A Professional Corporation practices in El Monte, CA. The NPI Number for Andre Widodo Dds A Professional Corporation is 1447583661 and holds a License No. 46152 (California).

The current practice location address for Andre Widodo Dds A Professional Corporation is 11635 Valley Blvd Ste E, El Monte, CA and can be reached out via phone at 626-444-7645 and via fax at 626-444-7628.

Location: 11635 Valley Blvd Ste E, El Monte, CA, 91732-3071
institution
Provider Profile Details
NPI Number
1447583661
Provider Name
Andre Widodo Dds A Professional Corporation
Credential
Provider Entity Type
Organization
Address
11635 Valley Blvd Ste E, El Monte, CA, 91732-3071
Phone Number
626-444-7645
Fax Number
626-444-7628
Provider Enumeration Date
09/08/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
11635 Valley Blvd Ste E
City
State
Zip
91732-3071
Phone Number
626-444-7645
Fax Number
626-444-7628
person
Provider Business Mailing Address Details
Address
11635 Valley Blvd Ste E
City
State
Zip
91732-3071
Phone Number
626-444-7645
Fax Number
626-444-7628
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
License No.
46152 (California)
Definition
Definition to come...
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