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Dr. Wijaya Sulaeman, DDS,MAGD
General Practice Dentistry in San Bernardino, California
NPI 1932101706

Wijaya Sulaeman is a General Practice Dentistry based in San Bernardino, CA and is specialized in General Practice. Wijaya Sulaeman practices in San Bernardino, CA and has the professional credentials of DDS,MAGD. The NPI Number for Wijaya Sulaeman is 1932101706 and holds a License No. 37166 (California).

The current practice location address for Wijaya Sulaeman is 25054 Base Line St, San Bernardino, CA and can be reached out via phone at 909-889-9591 and via fax at 909-889-8721. You can also correspond with Wijaya Sulaeman through the mailing address at 25054 BASE LINE ST, SAN BERNARDINO, CA - 92410-4026 (mailing address contact number: 909-889-9591).

Location: 25054 Base Line St, San Bernardino, CA, 92410-4026
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1932101706
Provider Name
Wijaya Sulaeman
Credential
DDS,MAGD
Provider Entity Type
Individual
Gender
Male
Address
25054 Base Line St, San Bernardino, CA, 92410-4026
Phone Number
909-889-9591
Fax Number
909-889-8721
Provider Enumeration Date
08/11/2005
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
25054 Base Line St
City
San Bernardino
State
California
Zip
92410-4026
Phone Number
909-889-9591
Fax Number
909-889-8721
person
Provider Business Mailing Address Details
Address
25054 Base Line St
City
San Bernardino
State
California
Zip
92410-4026
Phone Number
909-889-9591
Fax Number
909-889-8721
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
37166 (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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