Hartanto L. Justin D.d.s. , Inc

NPI 1427104488 - Dentist - 1223G0001X

NPI Details
NPI 1427104488
Enumeration Date 01/25/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name HARTANTO LAWRENCE HARTANTO
Position PRESIDENT
Phone (323) 221-6090
Fax
Practice Location
3231 N BROADWAY
LOS ANGELES CA, 90031-2801, US
Phone (323) 221-6090
Fax
Business Location
3231 N BROADWAY
LOS ANGELES CA, 90031-2801, US
Phone (323) 221-6090
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State California
License Number 39019
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According to our database, Hartanto L. Justin D.d.s. , Inc NPI is 1427104488, taxonomy code is 1223G0001X and license number is 39019, license state is located at California. Hartanto L. Justin D.d.s. , Inc physically located at 3231 N Broadway, Los Angeles CA, 90031-2801. NPI Number 1033115704 has the healthcare provider type.

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1427104488 NPI number is provided on an as is basis without warranty of any kind. 1427104488 is maintained by the National Plan & Provider Enumeration System. The contents of Hartanto L. Justin D.d.s. , Inc are for informational purposes only.