MR. Soedharsono Judo DDS

  • NPI 1093873218
According to our database, the NPI number for MR. Soedharsono Judo DDS is 1093873218 and activated since 17 years ago. MR. Soedharsono Judo DDS is an individual provider who specializes in Dentist, and the primary practice location is 1087 North Park Avenue, Pomona, CA 91768. You can also contact MR. Soedharsono Judo DDS via telephone number is (909) 629-0201. Provider NPI information was last updated on 07/08/2007.

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Overview of MR. Soedharsono Judo DDS

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 12/04/2006
  • Last updated: 07/08/2007

Primary Scrop of Practice

  • Taxonomy Code: 122300000X
  • Specialty: Dentist
  • License Number: 34127
  • License State: CA

Provider Mailing Address

  • Address: 1087 North Park Avenue
    Pomona, CA 91768
  • Phone: 909-629-0201
  • Fax:

Provider Practice Location

  • Address: 1087 North Park Avenue
    Pomona, CA 91768
  • Phone: 909-629-0201
  • Fax:

Scope of Practice

  • Taxonomy Code: 122300000X
  • Specialty: Dentist
  • License Number: 34127
  • License State: CA
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: G9044501
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: CA
  • Issuer:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for MR. Soedharsono Judo DDS?
  • A: The npi number for MR. Soedharsono Judo DDS is 1093873218.
  • Q: What are MR. Soedharsono Judo DDS's specialties?
  • A: MR. Soedharsono Judo DDS's specialties are Dentist and different specialities.
  • Q: What is the medical license for MR. Soedharsono Judo DDS?
  • A: The medical license number for MR. Soedharsono Judo DDS is 34127 and issued in CA in USA.
  • Q: Where is MR. Soedharsono Judo DDS practice location?
  • A: MR. Soedharsono Judo DDS is practicing at 1087 North Park Avenue, Pomona, CA 91768.
  • Q: How to contact MR. Soedharsono Judo DDS?
  • A: You can contact MR. Soedharsono Judo DDS via 909-629-0201.
Medicare Specialty
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