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Dr. Hanny Susanto, DDS
General Practice Dentistry in La Puente, California
NPI 1689770299

Hanny Susanto is a General Practice Dentistry based in La Puente, CA and is specialized in General Practice. Hanny Susanto practices in La Puente, CA and has the professional credentials of DDS. The NPI Number for Hanny Susanto is 1689770299 and holds a License No. 39482 (California).

The current practice location address for Hanny Susanto is 1240 N Hacienda Blvd Ste 103, La Puente, CA and can be reached out via phone at 626-931-2525 and via fax at 626-931-2527.

Location: 1240 N Hacienda Blvd Ste 103, La Puente, CA, 91744-1663
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1689770299
Provider Name
Hanny Susanto
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
1240 N Hacienda Blvd Ste 103, La Puente, CA, 91744-1663
Phone Number
626-931-2525
Fax Number
626-931-2527
Provider Enumeration Date
09/15/2006
Last Update Date
11/16/2024
institution
Provider Business Practice Location Address Details
Address
1240 N Hacienda Blvd Ste 103
City
La Puente
State
California
Zip
91744-1663
Phone Number
626-931-2525
Fax Number
626-931-2527
person
Provider Business Mailing Address Details
Address
1240 N Hacienda Blvd Ste 103
City
La Puente
State
California
Zip
91744-1663
Phone Number
626-931-2525
Fax Number
626-931-2527
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
39482 (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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