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Dr. Damita Dora Wiredja, DDA
Dentist in Maywood, California
NPI 1740949056

Damita Dora Wiredja is a Dentist based in Maywood, CA. Damita Dora Wiredja practices in Maywood, CA and has the professional credentials of DDA. The NPI Number for Damita Dora Wiredja is 1740949056 and holds a License No. DDS106565 (California).

The current practice location address for Damita Dora Wiredja is 6100 Atlantic Blvd Ste I, Maywood, CA and can be reached out via phone at 323-771-7551 and via fax at 323-771-7881.

Location: 6100 Atlantic Blvd Ste I, Maywood, CA, 90270-3184
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1740949056
Provider Name
Damita Dora Wiredja
Credential
DDA
Provider Entity Type
Individual
Gender
Female
Address
6100 Atlantic Blvd Ste I, Maywood, CA, 90270-3184
Phone Number
323-771-7551
Fax Number
323-771-7881
Provider Enumeration Date
12/14/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
DDS106565 01 CA PRIVATE
institution
Provider Business Practice Location Address Details
Address
6100 Atlantic Blvd Ste I
City
Maywood
State
California
Zip
90270-3184
Phone Number
323-771-7551
Fax Number
323-771-7881
person
Provider Business Mailing Address Details
Address
6100 Atlantic Blvd Ste I
City
Maywood
State
California
Zip
90270-3184
Phone Number
323-771-7551
Fax Number
323-771-7881
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
-
Taxonomy
122300000X
License No.
DDS106565 (California)
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
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