Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KUSUMO SUMARDI, D.D.S.
Active Sole ProprietorKUSUMO SUMARDI, D.D.S. is a General Dentistry healthcare provider located in LA VERNE, California. NPI 1811037435 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · LA VERNE, CA
Registration Details
- NPI Number
- 1811037435
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 6, 2007 (19.336058507074 yrs)
- Last Updated
- Jul 8, 2007
- License
-
41680 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1965 FOOTHILL BLVDSUITE LLA VERNE, CA, 917503502Browse CA providers · Browse ZIP 91750
- Phone
- 9095966500
- Fax
- 9095968809
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Providers in LA VERNE, CA
| Name | Credential | NPI |
|---|---|---|
| DR. ROGER M. HANAWALT | D.D.S. | 1861473357 |
| DR. DANIEL DEAN HUIGENS | DDS | 1114940962 |
| DR. SHIRLEY SUMIKO HIRAYAMA | D.D.S. | 1659484582 |
| DR. RITTU GILL | DDS | 1942302914 |
| DR. STEVEN A TAKAMATSU | D.D.S. | 1205935608 |
| DR. HAMBIK OKTANYAN | DDS | 1598859910 |
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.