Susanto Dental Corporation in La Puente - Dentist
Susanto Dental Corporation - NPI 1609061720
Susanto Dental Corporation is a Dentist in La Puente, California. Susanto Dental Corporation practices all healthcare services and medical treatments related to Dentist. The NPI Number for Susanto Dental Corporation is 1609061720. The last update date is 2007-09-11.
Susanto Dental Corporation's current location address is 1240 N Hacienda Blvd Ste 103, La Puente, California. You can contact this provider via phone number 6269312525 and fax number 6269312527. The mailing address for Susanto Dental Corporation is 1240 N Hacienda Blvd Ste 103, La Puente, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Susanto Dental Corporation |
|---|---|
| Address | 1240 N Hacienda Blvd Ste 103, La Puente, California |
| Phone Number | 6269312525 |
| Fax Number | 6269312527 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Susanto Hanny |
| Credentials | DDS |
| Telephone Number | 6264010747 |
NPI Number Detail
| NPI Number | 1609061720 |
|---|---|
| Provider Enumeration Date | 2007-09-11 |
| Last Updated Date | 2007-09-11 |
Provider Mailing Address Detail
| Address | 1240 N Hacienda Blvd Ste 103 |
|---|---|
| City | La Puente |
| State | California (CA) |
| Post Code | 917441663 |
| Phone Number | 6269312525 |
| Fax Number | 6269312527 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 39482 |
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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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What is the unique 10-digit identifier code issued to Susanto Dental Corporation by the Centers for Medicare & Medicaid Services?
The Susanto Dental Corporation has been assigned the NPI (National Provider Identifier) 1609061720 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Susanto Dental Corporation's physical address?
The Susanto Dental Corporation is physically located at 1240 N Hacienda Blvd Ste 103, in the city of La Puente, CA, with the postal code 917441663.
What is Susanto Dental Corporation's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Susanto Dental Corporation is Dentist, and the taxonomy code that categorizes this field of expertise is 122300000X.
When did the Susanto Dental Corporation receive its 1609061720?
The Susanto Dental Corporation was issued its 1609061720 on 2007-09-11, which is the date when the organization was assigned this unique identifier.
When was the information related to Susanto Dental Corporation most recently updated or refreshed?
The details pertaining to the Susanto Dental Corporation, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-09-11.
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