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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ANDRE WIDODO DDS A PROFESSIONAL CORPORATION

Active Organization

ANDRE WIDODO DDS A PROFESSIONAL CORPORATION is a Dental Clinic organization located in EL MONTE, California. NPI 1447583661 is currently active in the NPPES registry. Verify at CMS.

Dental Clinic · EL MONTE, CA

Registration Details

NPI Number
1447583661
Provider Type
Organization
NPI Issued
Sep 8, 2009 (16.922087616381 yrs)
Last Updated
Sep 8, 2009
License
46152 (CA)

Practice Information

Address
11635 VALLEY BLVD STE E
EL MONTE, CA, 917323071
Browse CA providers · Browse ZIP 91732
Phone
6264447645
Fax
6264447628
Primary Specialty
Dental Clinic
261QD0000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.