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

SUSANTO DENTAL CORPORATION

Active Organization

SUSANTO DENTAL CORPORATION is a Dentist organization located in LA PUENTE, California. NPI 1609061720 is currently active in the NPPES registry. Verify at CMS.

Dentist · LA PUENTE, CA

Registration Details

NPI Number
1609061720
Provider Type
Organization
NPI Issued
Sep 11, 2007 (18.741660973274 yrs)
Last Updated
Sep 11, 2007
License
39482 (CA)

Practice Information

Address
1240 N HACIENDA BLVD STE 103
LA PUENTE, CA, 917441663
Browse CA providers · Browse ZIP 91744
Phone
6269312525
Fax
6269312527
Primary Specialty
Dentist
122300000X
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.