| H. Hadidjaja, Dds Inc. | |
|
3122 E Florence Ave Huntington Park CA 90255-5830 | |
| (323) 588-0001 | |
| (999) 999-9999 |
| Full Name | H. Hadidjaja, Dds Inc. |
|---|---|
| Speciality | Dentist |
| Location | 3122 E Florence Ave, Huntington Park, California |
| Authorized Official Name and Position | Hami Hadidjaja (PRESIDENT) |
| Authorized Official Contact | 3235880001 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| H. Hadidjaja, Dds Inc. 3122 E Florence Ave Huntington Park CA 90255-5830 Ph: (323) 588-0001 | H. Hadidjaja, Dds Inc. 3122 E Florence Ave Huntington Park CA 90255-5830 Ph: (323) 588-0001 |
| NPI Number | 1063815256 |
|---|---|
| Provider Enumeration Date | 10/01/2014 |
| Last Update Date | 10/01/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063815256 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 41834 (California) | Primary |
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