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

DR. PATRICIA HADIWIDJAJA GUSTI, DDS

Active Sole Proprietor

DR. PATRICIA HADIWIDJAJA GUSTI, DDS is a General Dentistry healthcare provider located in FULLERTON, California. NPI 1740578467 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · FULLERTON, CA

Registration Details

NPI Number
1740578467
Provider Type
Individual
Gender
Female
NPI Issued
Jul 15, 2011 (15.096713661533 yrs)
Last Updated
Jan 17, 2024
License
60534 (CA)
Sole Proprietor
Yes

Practice Information

Address
1012 E BASTANCHURY RD
FULLERTON, CA, 928352782
Browse CA providers · Browse ZIP 92835
Phone
7142571220
Primary Specialty
General Dentistry
1223G0001X

Other General Dentistry Providers in FULLERTON, CA

Name Credential NPI
DR. HERCULES JOEL REAL D.D.S. 1427052778
DR. SAURABH KUMAR SINHA DDS 1376549014
DR. ROSE MARIE LIM TAN DDS 1841290020
PROF. FERESHTEH MAZHARY D.M.D. 1376531418
DR. ANH LAN HO D.D.S. 1770543407
DON R. ELLERTSON DDS 1669420303
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.