| Heru Wiredja,dds,inc | |
|
6100 Atlantic Blvd Suite I Maywood CA 90270-3131 | |
| (323) 771-7551 | |
| (323) 771-7881 |
| Full Name | Heru Wiredja,dds,inc |
|---|---|
| Speciality | Dentist |
| Location | 6100 Atlantic Blvd, Maywood, California |
| Authorized Official Name and Position | Heru Wiredja (PRESIDENT) |
| Authorized Official Contact | 3237717551 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Heru Wiredja,dds,inc 6100 Atlantic Blvd Suite I Maywood CA 90270-3131 Ph: (323) 771-7551 | Heru Wiredja,dds,inc 6100 Atlantic Blvd Suite I Maywood CA 90270-3131 Ph: (323) 771-7551 |
| NPI Number | 1659783918 |
|---|---|
| Provider Enumeration Date | 05/21/2014 |
| Last Update Date | 05/21/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659783918 | NPI | - | NPPES |
| 33408-01 | Other | CA | MEDICAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 33408 (California) | Primary |
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Summer Dental Group Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4201 East Slauson Ave, Maywood, CA 90270 Phone: 323-560-4658 Fax: 323-560-4204 | |
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Southeast Dental Group Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4332 Slauson Ave, Maywood, CA 90270 Phone: 323-771-7777 Fax: 323-562-5209 | |
Corona Dental Center Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5714 Atlantic Blvd, Maywood, CA 90270 Phone: 323-581-4008 | |
Southeast Dental Group Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4332 Slauson Ave, Maywood, CA 90270 Phone: 323-771-7777 Fax: 323-562-5209 | |
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