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Mellisri Redjo - Setyono, DDS
General Practice Dentistry in Los Angeles, California
NPI 1598803801

Mellisri Redjo - Setyono is a General Practice Dentistry based in Los Angeles, CA and is specialized in General Practice. Mellisri Redjo - Setyono practices in Los Angeles, CA and has the professional credentials of DDS. The NPI Number for Mellisri Redjo - Setyono is 1598803801 and holds a License No. 36419 (California).

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

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
1598803801
Provider Name
Mellisri Redjo - Setyono
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
749 S Union Ave, Los Angeles, CA, 90017-2115
Phone Number
213-483-5616
Fax Number
Provider Enumeration Date
02/01/2007
Last Update Date
03/08/2024
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
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
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
36419 (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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