Mrs Teresita Jahja Judo, DDS - Dentist in Pomona, CA

Mrs Teresita Jahja Judo, DDS is a Dentist based in Pomona, California. Mrs Teresita Jahja Judo is licensed to practice in California (license number 36942) and her current practice location is 1087 North Park Avenue, Pomona, California. She can be reached at her office (for appointments etc.) via phone at (909) 629-0201.

NPI number for Mrs Teresita Jahja Judo is 1538235635 and her current mailing address is 1087 North Park Avenue, Pomona, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1538235635.

Contact Information

Mrs Teresita Jahja Judo, DDS
1087 North Park Avenue,
Pomona, CA 91768-3026
(909) 629-0201
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMrs Teresita Jahja Judo
GenderFemale
SpecialityDentist
Location1087 North Park Avenue, Pomona, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1538235635
  • Provider Enumeration Date: 11/28/2006
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Mrs Teresita Jahja Judo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1538235635NPI-NPPES
D36942MedicaidCA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
122300000XDentist 36942 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Teresita Jahja Judo is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Teresita Jahja Judo, DDS
1087 North Park Avenue,
Pomona, CA 91768-3026

Ph: (909) 629-0201
Mrs Teresita Jahja Judo, DDS
1087 North Park Avenue,
Pomona, CA 91768-3026

Ph: (909) 629-0201

Reviews and Comments


Dentist in Pomona, CA

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Phone: 909-595-1221    
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Phone: 909-242-7989    
Dr. Robert Dee Stevenson, D.D.S.
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Medicare: Medicare Enrolled
Practice Location: 795 E 2nd St, Suite 8, Pomona, CA 91766
Phone: 909-706-3836    

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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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