| Susanto Dental Corporation | |
|
1240 N Hacienda Blvd Ste 103 La Puente CA 91744-1663 | |
| (626) 931-2525 | |
| (626) 931-2527 |
| Full Name | Susanto Dental Corporation |
|---|---|
| Speciality | Dentist |
| Location | 1240 N Hacienda Blvd Ste 103, La Puente, California |
| Authorized Official Name and Position | Hanny Susanto (PRESIDENT) |
| Authorized Official Contact | 6264010747 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Susanto Dental Corporation 10226 Olive St Temple City CA 91780-3346 Ph: (626) 401-0747 | Susanto Dental Corporation 1240 N Hacienda Blvd Ste 103 La Puente CA 91744-1663 Ph: (626) 931-2525 |
| NPI Number | 1609061720 |
|---|---|
| Provider Enumeration Date | 09/11/2007 |
| Last Update Date | 09/11/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609061720 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 39482 (California) | Primary |
Alex Marose Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1855 N Hacienda Blvd, La Puente, CA 91744 Phone: 626-699-6115 | |
Mabel B Schneider-utz D D S A Proffessional Corp. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 864 N Hacienda Blvd, La Puente, CA 91744 Phone: 626-333-8166 Fax: 626-333-9879 | |
Virginia Ipapo-agustin Dds Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 525 N Azusa Ave Ste 112, La Puente, CA 91744 Phone: 626-336-4453 | |
Eunice G Kim Dds Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1643 N Hacienda Blvd, La Puente, CA 91744 Phone: 213-505-2075 | |
Ming Zhang Dds Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1240 N Hacienda Blvd Ste 103, La Puente, CA 91744 Phone: 626-931-2525 | |
Ming Ren Zhang Dds Inc A Professional Corporation Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1240 N Hacienda Blvd Ste 103, La Puente, CA 91744 Phone: 626-931-2525 | |
Valinda Dental Office Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1447 N. Valinda Av., Ste. F, La Puente, CA 91774 Phone: 626-918-8889 Fax: 626-919-6159 |