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Dr. Andriani Ongkorahardjo, DDS
Pediatric Dentist in Diamond Bar, California
NPI 1902941669

Andriani Ongkorahardjo is a Pediatric Dentist based in Diamond Bar, CA and is specialized in Pediatric Dentistry. Andriani Ongkorahardjo practices in Diamond Bar, CA and has the professional credentials of DDS. The NPI Number for Andriani Ongkorahardjo is 1902941669 and holds a License No. 46120 (California).

The current practice location address for Andriani Ongkorahardjo is 660 N Diamond Bar Blvd Ste 288, Diamond Bar, CA and can be reached out via phone at 909-396-0107 and via fax at 909-396-0094.

Location: 660 N Diamond Bar Blvd Ste 288, Diamond Bar, CA, 91765-1070
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1902941669
Provider Name
Andriani Ongkorahardjo
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
660 N Diamond Bar Blvd Ste 288, Diamond Bar, CA, 91765-1070
Phone Number
909-396-0107
Fax Number
909-396-0094
Provider Enumeration Date
02/20/2007
Last Update Date
12/14/2024
institution
Provider Business Practice Location Address Details
Address
660 N Diamond Bar Blvd Ste 288
City
Diamond Bar
State
California
Zip
91765-1070
Phone Number
909-396-0107
Fax Number
909-396-0094
person
Provider Business Mailing Address Details
Address
660 N Diamond Bar Blvd Ste 288
City
Diamond Bar
State
California
Zip
91765-1070
Phone Number
909-396-0107
Fax Number
909-396-0094
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
46120 (California)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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