Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Ridwan Sudirgo, DDS

Individual provider General Practice Dentistry · NPI 1811037443

Dr. Ridwan Sudirgo, DDS is a General Practice Dentistry in Montebello, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2007
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

2218 W Beverly Blvd
Montebello, CA 90640-2302
Phone: (323) 721-6221
Fax: (323) 721-8641
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 36010 (CA)

Record details

NPI number1811037443
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedFebruary 6, 2007
Last updated in NPPESJuly 9, 2007

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