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Dr. Thomas Sudibjo, DMD
General Practice Dentistry in Tustin, California
NPI 1891834099

Thomas Sudibjo is a General Practice Dentistry based in Tustin, CA and is specialized in General Practice. Thomas Sudibjo practices in Tustin, CA and has the professional credentials of DMD. The NPI Number for Thomas Sudibjo is 1891834099 and holds a License No. 45983 (California).

The current practice location address for Thomas Sudibjo is 1096 Irvine Blvd, Tustin, CA and can be reached out via phone at 714-838-6777 and via fax at 714-838-8277.

Location: 1096 Irvine Blvd, Tustin, CA, 92780-3527
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1891834099
Provider Name
Thomas Sudibjo
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
1096 Irvine Blvd, Tustin, CA, 92780-3527
Phone Number
714-838-6777
Fax Number
714-838-8277
Provider Enumeration Date
02/05/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1096 Irvine Blvd
City
Tustin
State
California
Zip
92780-3527
Phone Number
714-838-6777
Fax Number
714-838-8277
person
Provider Business Mailing Address Details
Address
1096 Irvine Blvd
City
Tustin
State
California
Zip
92780-3527
Phone Number
714-838-6777
Fax Number
714-838-8277
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
45983 (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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