Susanto Dental Corporation
Susanto Dental Corporation provides Dentist services in LA Puente, California. Licensed in California. Registered with an NPI since 2007.
- Licensed in
- CA
- In the registry since
- 2007
Practice location Address checks out
1240 N Hacienda Blvd Ste 103LA Puente, CA 91744-1663 Not confirmed with CMS for 19 years — call before visiting
Phone: (626) 931-2525
Fax: (626) 931-2527
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dentist (primary) | Taxonomy 122300000X · Licence 39482 (CA) |
|---|
Record details
| NPI number | 1609061720 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Hanny Susanto — President · (626) 401-0747 |
| NPI enumerated | September 11, 2007 |
| Last updated in NPPES | September 11, 2007 |
| Mailing address | 10226 Olive St, Temple City, CA 91780-3346 |
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