| Dr Poppy Widyastuti The, DDS | |
|
20800 Sherman Way, Winnetka, CA 91306-2707 | |
| (818) 883-2273 | |
| (818) 896-1074 |
| Full Name | Dr Poppy Widyastuti The |
|---|---|
| Gender | Female |
| Speciality | Dentist - Pediatric Dentistry |
| Location | 20800 Sherman Way, Winnetka, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992911408 | NPI | - | NPPES |
| 1083624423 | Medicaid | CA | |
| 1538130893 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 26289 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Poppy Widyastuti The, DDS 8902 Woodman Ave, Arleta, CA 91331-6401 Ph: (818) 830-7133 | Dr Poppy Widyastuti The, DDS 20800 Sherman Way, Winnetka, CA 91306-2707 Ph: (818) 883-2273 |
Dr. Mehrnoosh Dianati, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 7616 Winnetka Ave, Suite #1, Winnetka, CA 91306 Phone: 818-667-9244 | |
Dr. Katherine Ogtong, Dentist Medicare: Medicare Enrolled Practice Location: 20200 Saticoy St, Suite E, Winnetka, CA 91306 Phone: 818-775-9994 Fax: 818-775-9696 | |
David Chang, Dentist Medicare: Medicare Enrolled Practice Location: 20439 Sherman Way, Winnetka, CA 91306 Phone: 818-883-3922 | |
Dr. Mary Senstad, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 20173 Saticoy St, Winnetka, CA 91306 Phone: 818-717-9066 | |
Silvia L Duarte-ayala, Dentist Medicare: Not Enrolled in Medicare Practice Location: 20109 Sherman Way, Winnetka, CA 91306 Phone: 661-236-7497 | |
Dr. Regina Guadalupe Espinoza, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 20173 Saticoy St, Winnetka, CA 91306 Phone: 818-717-9066 | |
Dr. Edmundo Jose Ayala-orantes, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 20109 Sherman Way, Winnetka, CA 91306 Phone: 818-993-4284 Fax: 818-993-4265 |