Yintawati A Satyarahardja DDS

NPI 1275695553 - Dentist - 122300000X

NPI Details
NPI 1275695553
Gender Female
Enumeration Date 12/14/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1199 N E ST
SAN BERNARDINO CA, 92410-3507, US
Phone (909) 381-6507
Fax
Business Location
1240 S LARK ELLEN AVE
WEST COVINA CA, 91791-3841, US
Phone (626) 893-5677
Fax
Toxanomy
Taxonomy Code 122300000X
License State California
License Number 46955
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According to our database, Dr. Yintawati A Satyarahardja DDS NPI is 1275695553, taxonomy code is 122300000X and license number is 46955, license state is located at California. Yintawati A Satyarahardja DDS physically located at 1199 N E St, San Bernardino CA, 92410-3507. NPI Number Yintawati A Satyarahardja DDS has the Individual type.

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1275695553 NPI number is provided on an as is basis without warranty of any kind. 1275695553 is maintained by the National Plan & Provider Enumeration System. The contents of Yintawati A Satyarahardja DDS are for informational purposes only.