H. Hadidjaja, Dds Inc.

NPI 1063815256 - Dentist - 122300000X

NPI Details
NPI 1063815256
Enumeration Date 10/01/2014
Last Updated 10/01/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name HAMI HAMI
Position PRESIDENT
Phone (323) 588-0001
Fax (999) 999-9999
Practice Location
3122 E FLORENCE AVE
HUNTINGTON PARK CA, 90255-5830, US
Phone (323) 588-0001
Fax (999) 999-9999
Business Location
3122 E FLORENCE AVE
HUNTINGTON PARK CA, 90255-5830, US
Phone (323) 588-0001
Fax (999) 999-9999
Toxanomy
Taxonomy Code 122300000X
License State California
License Number 41834
Remove 1063815256 NPI Number
 

According to our database, H. Hadidjaja, Dds Inc. NPI is 1063815256, taxonomy code is 122300000X and license number is 41834, license state is located at California. H. Hadidjaja, Dds Inc. physically located at 3122 E Florence Ave, Huntington Park CA, 90255-5830. NPI Number 1033115704 has the healthcare provider type.

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1063815256 NPI number is provided on an as is basis without warranty of any kind. 1063815256 is maintained by the National Plan & Provider Enumeration System. The contents of H. Hadidjaja, Dds Inc. are for informational purposes only.