Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. DAMITA DORA WIREDJA, DDA
Active Sole ProprietorDR. DAMITA DORA WIREDJA, DDA is a Dentist healthcare provider located in MAYWOOD, California. NPI 1740949056 is currently active in the NPPES registry. Verify at CMS.
Dentist · MAYWOOD, CA
Registration Details
- NPI Number
- 1740949056
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 14, 2021 (4.6481786749937 yrs)
- Last Updated
- Jan 5, 2022
- License
-
DDS106565 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
6100 ATLANTIC BLVD STE IMAYWOOD, CA, 902703184Browse CA providers · Browse ZIP 90270
- Phone
- 3237717551
- Fax
- 3237717881
- Primary Specialty
-
Dentist
122300000X
Other Dentist Providers in MAYWOOD, CA
| Name | Credential | NPI |
|---|---|---|
| FATEN KG MARCOS | DDS | 1336200468 |
| DR. MALAKEH ZAHEDI | DDS | 1114082138 |
| DR. JOSE R. TORRES | D.D.S. | 1306960893 |
| DR. ANH D. HOANG | — | 1134346257 |
| DR. HENRY C WONG | — | 1023229465 |
| HARI K REDDY | DDS | 1043411457 |
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.