Richard I Sutedja in Fremont - General Practice
Richard I Sutedja - NPI 1235337536
Richard I Sutedja is a General Practice in Fremont, California. Richard I Sutedja practices all healthcare services and medical treatments related to General Practice. The NPI Number for Richard I Sutedja is 1235337536. The last update date is 2007-07-08.
Richard I Sutedja's current location address is 4545 Mattos Dr, Fremont, California. You can contact this provider via phone number 5107973769 and fax number 5107973154. The mailing address for Richard I Sutedja is 4545 Mattos Dr, Fremont, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Richard I Sutedja |
|---|---|
| Address | 4545 Mattos Dr, Fremont, California |
| Phone Number | 5107973769 |
| Fax Number | 5107973154 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1235337536 |
|---|---|
| Provider Enumeration Date | 2007-07-07 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4545 Mattos Dr |
|---|---|
| City | Fremont |
| State | California (CA) |
| Post Code | 945366736 |
| Phone Number | 5107973769 |
| Fax Number | 5107973154 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 33710 |
|
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. |
|
Post Comment/ Review Below
What is the Richard I Sutedja's unique identification number?
The Richard I Sutedja has been assigned the NPI (National Provider Identifier) Number 1235337536 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 Richard I Sutedja's facilities are situated?
The facilities of Richard I Sutedja are physically located at the following address: 4545 Mattos Dr, Fremont, CA, 945366736.
What is the area of specialization for Richard I Sutedja, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Richard I Sutedja is General Practice, and the corresponding taxonomy code that categorizes this area of expertise is 1223G0001X.
On what date was the 1235337536 assigned to Richard I Sutedja?
The Richard I Sutedja was issued its 1235337536 on 2007-07-07, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Richard I Sutedja most recently updated or revised?
The information pertaining to Richard I Sutedja, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.