Teresita Jahja Judo is a Dentist in Pomona, California. Teresita Jahja Judo practices all healthcare services and medical treatments related to Dentist. The NPI Number for Teresita Jahja Judo is 1538235635. The last update date is 2007-07-08.
Teresita Jahja Judo's current location address is 1087 North Park Avenue, Pomona, California. You can contact this provider via phone number 9096290201. The mailing address for Teresita Jahja Judo is 1087 North Park Avenue, Pomona, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Teresita Jahja Judo |
|---|---|
| Address | 1087 North Park Avenue, Pomona, California |
| Phone Number | 9096290201 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1538235635 |
|---|---|
| Provider Enumeration Date | 2006-11-28 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1087 North Park Avenue |
|---|---|
| City | Pomona |
| State | California (CA) |
| Post Code | 917683026 |
| Phone Number | 9096290201 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 36942 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| D36942 | CA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Teresita Jahja Judo by the Centers for Medicare & Medicaid Services?
The Teresita Jahja Judo has been assigned the NPI (National Provider Identifier) 1538235635 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Teresita Jahja Judo is located?
The Teresita Jahja Judo is situated at the following address: 1087 North Park Avenue, Pomona, CA, 917683026.
What is Teresita Jahja Judo's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Teresita Jahja Judo is Dentist, and the corresponding taxonomy classification code for this specialized field is 122300000X.
When did the Teresita Jahja Judo receive its 1538235635?
The Teresita Jahja Judo was issued its 1538235635 on 2006-11-28, which is the date when the organization was assigned this unique identifier.
As of what date were the details pertaining to Teresita Jahja Judo last refreshed?
The information related to the Teresita Jahja Judo, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
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