| Mr Soedharsono Judo, DDS | |
|
1087 North Park Avenue, Pomona, CA 91768-3026 | |
| (909) 629-0201 | |
| Not Available |
| Full Name | Mr Soedharsono Judo |
|---|---|
| Gender | Male |
| Speciality | Dentist |
| Location | 1087 North Park Avenue, Pomona, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093873218 | NPI | - | NPPES |
| G9044501 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 34127 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Soedharsono Judo, DDS 1087 North Park Avenue, Pomona, CA 91768-3026 Ph: (909) 629-0201 | Mr Soedharsono Judo, DDS 1087 North Park Avenue, Pomona, CA 91768-3026 Ph: (909) 629-0201 |
Dr. Jing Chen, Dentist Medicare: Not Enrolled in Medicare Practice Location: 430 W Holt Ave Ste E, Pomona, CA 91768 Phone: 909-623-4435 | |
Dr. Abrahim Abdul Mustafa, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 2280 S Garey Ave, Pomona, CA 91766 Phone: 909-364-0633 Fax: 909-364-0636 | |
Dr. Mark Douglas Mintline, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 795 E. Second St., Suite 8, Pomona, CA 91766 Phone: 909-706-3910 Fax: 909-469-8650 | |
Mrs. Ha Nhi Tran, D.D.S Dentist Medicare: Not Enrolled in Medicare Practice Location: 667 N Indian Hill Blvd, Pomona, CA 91767 Phone: 909-620-6664 | |
Dr. Gregory Paul Stone, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3530 West Pomona Blvd, Pomona, CA 91769 Phone: 909-595-1221 | |
Dr. Robert Dee Stevenson, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 795 E 2nd St, Suite 8, Pomona, CA 91766 Phone: 909-706-3836 | |
Dr. Jay David Preston, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 309 E 2nd St, Pomona, CA 91766 Phone: 909-623-6116 |