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Enty Tionowidjaja, DDS
General Practice Dentistry in La Habra, California
NPI 1659438133

Enty Tionowidjaja is a General Practice Dentistry based in La Habra, CA and is specialized in General Practice. Enty Tionowidjaja practices in La Habra, CA and has the professional credentials of DDS. The NPI Number for Enty Tionowidjaja is 1659438133 and holds a License No. 37170 (California).

The current practice location address for Enty Tionowidjaja is 721 W. Whittier Blvd., La Habra, CA and can be reached out via phone at 562-691-3688.

Location: 721 W. Whittier Blvd., La Habra, CA, 90631-3772
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1659438133
Provider Name
Enty Tionowidjaja
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
721 W. Whittier Blvd., La Habra, CA, 90631-3772
Phone Number
562-691-3688
Fax Number
Provider Enumeration Date
01/03/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
721 W. Whittier Blvd.
City
La Habra
State
California
Zip
90631-3772
Phone Number
562-691-3688
Fax Number
person
Provider Business Mailing Address Details
Address
721 W. Whittier Blvd.
City
La Habra
State
California
Zip
90631-3772
Phone Number
562-691-3688
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
37170 (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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