location
search-icon
person
Kevin Michael Hadidjaja
General Practice Dentistry in Los Angeles, California
NPI 1538765086

Kevin Michael Hadidjaja is a General Practice Dentistry based in Los Angeles, CA and is specialized in General Practice. Kevin Michael Hadidjaja practices in Los Angeles, CA. The NPI Number for Kevin Michael Hadidjaja is 1538765086 and holds a License No. DDS105752 (California).

The current practice location address for Kevin Michael Hadidjaja is 905 E 2Nd St Apt 336, Los Angeles, CA and can be reached out via phone at 310-347-8432.

Location: 905 E 2Nd St Apt 336, Los Angeles, CA, 90012-4465
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1538765086
Provider Name
Kevin Michael Hadidjaja
Credential
Provider Entity Type
Individual
Gender
Male
Address
905 E 2Nd St Apt 336, Los Angeles, CA, 90012-4465
Phone Number
310-347-8432
Fax Number
Provider Enumeration Date
12/09/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
905 E 2Nd St Apt 336
City
Los Angeles
State
California
Zip
90012-4465
Phone Number
310-347-8432
Fax Number
person
Provider Business Mailing Address Details
Address
905 E 2Nd St Apt 336
City
Los Angeles
State
California
Zip
90012-4465
Phone Number
310-347-8432
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
DDS105752 (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.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.