Wijaya Sulaeman in San Bernardino - General Practice
Wijaya Sulaeman - NPI 1932101706
Wijaya Sulaeman is a General Practice in San Bernardino, California. Wijaya Sulaeman practices all healthcare services and medical treatments related to General Practice. The NPI Number for Wijaya Sulaeman is 1932101706. The last update date is 2007-07-08.
Wijaya Sulaeman's current location address is 25054 Base Line St, San Bernardino, California. You can contact this provider via phone number 9098899591 and fax number 9098898721. The mailing address for Wijaya Sulaeman is 25054 Base Line St, San Bernardino, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Wijaya Sulaeman |
|---|---|
| Address | 25054 Base Line St, San Bernardino, California |
| Phone Number | 9098899591 |
| Fax Number | 9098898721 |
| Sole Proprietor | X |
| Credentials | D.D.S., M. |
NPI Number Detail
| NPI Number | 1932101706 |
|---|---|
| Provider Enumeration Date | 2005-08-11 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 25054 Base Line St |
|---|---|
| City | San Bernardino |
| State | California (CA) |
| Post Code | 924104026 |
| Phone Number | 9098899591 |
| Fax Number | 9098898721 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 37166 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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Post Comment/ Review Below
What is the Wijaya Sulaeman's unique identification number?
The Wijaya Sulaeman has been assigned the NPI (National Provider Identifier) Number 1932101706 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Wijaya Sulaeman's facilities are situated?
The facilities of Wijaya Sulaeman are physically located at the following address: 25054 Base Line St, San Bernardino, CA, 924104026.
What is Wijaya Sulaeman's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Wijaya Sulaeman is General Practice, and the taxonomy code that categorizes this field of expertise is 1223G0001X.
On what date did Wijaya Sulaeman receive its 1932101706 assignment from the Centers for Medicare & Medicaid Services?
The Wijaya Sulaeman was assigned its 1932101706 on 2005-08-11, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Wijaya Sulaeman last refreshed?
The information related to the Wijaya Sulaeman, including its address, specialty, and other relevant details, was last updated on 2007-07-08.