| Agung Pribadi Dds Inc | |
|
600 E Whittier Blvd La Habra CA 90631 | |
| (562) 691-3070 | |
| (562) 691-7198 |
| Full Name | Agung Pribadi Dds Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 600 E Whittier Blvd, La Habra, California |
| Authorized Official Name and Position | Agung Pribadi (CEO) |
| Authorized Official Contact | 5626913070 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Agung Pribadi Dds Inc 600 E Whittier Blvd La Habra CA 90631 Ph: (562) 691-3070 | Agung Pribadi Dds Inc 600 E Whittier Blvd La Habra CA 90631 Ph: (562) 691-3070 |
| NPI Number | 1295830487 |
|---|---|
| Provider Enumeration Date | 09/13/2006 |
| Last Update Date | 05/22/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295830487 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 45519 (California) | Primary |
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