| Kusumo Sumardi, DDS | |
|
1965 Foothill Blvd, Suite L, La Verne, CA 91750-3502 | |
| (909) 596-6500 | |
| (909) 596-8809 |
| Full Name | Kusumo Sumardi |
|---|---|
| Gender | Male |
| Speciality | Dentist - General Practice |
| Location | 1965 Foothill Blvd, La Verne, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811037435 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 41680 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Kusumo Sumardi, DDS 3870 Grand Ave, Claremont, CA 91711-1454 Ph: (909) 621-9088 | Kusumo Sumardi, DDS 1965 Foothill Blvd, Suite L, La Verne, CA 91750-3502 Ph: (909) 596-6500 |
Parimal Jinabhai Kansagra, D.D.S,M.D.S Dentist Medicare: Not Enrolled in Medicare Practice Location: 2488 Foothill Blvd Ste C, La Verne, CA 91750 Phone: 909-596-1155 Fax: 909-596-6633 |
Dr. Douglas Norman Logan, D.D.S Dentist Medicare: Not Enrolled in Medicare Practice Location: 1844 Lemonwood St, La Verne, CA 91750 Phone: 909-392-9671 |
Dr. Majd Sarkees, Dentist Medicare: Not Enrolled in Medicare Practice Location: 1942 Evergreen St, La Verne, CA 91750 Phone: 562-357-1528 |
Austin Wessling, Dentist Medicare: Medicare Enrolled Practice Location: 929 Foothill Blvd Ste A, La Verne, CA 91750 Phone: 626-428-3920 |
Dr. Daniel Dean Huigens, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2187 Foothill Blvd, La Verne, CA 91750 Phone: 909-593-3551 Fax: 909-596-2854 |
Atyaf Saleh, BDS, DMD, MSC. Dentist Medicare: May Accept Medicare Assignments Practice Location: 3310 Cobblestone, La Verne, CA 91750 Phone: 909-929-9159 |
Raymund Saldana Natividad, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1886 Pinyon Pl, La Verne, CA 91750 Phone: 909-263-6035 |