Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ANDRIANI ONGKORAHARDJO, DDS
Active Sole ProprietorDR. ANDRIANI ONGKORAHARDJO, DDS is a Pediatric Dentistry healthcare provider located in DIAMOND BAR, California. NPI 1902941669 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · DIAMOND BAR, CA
Registration Details
- NPI Number
- 1902941669
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 20, 2007 (19.478943702215 yrs)
- Last Updated
- Dec 3, 2024
- License
-
46120 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
660 N DIAMOND BAR BLVD STE 288DIAMOND BAR, CA, 917651070Browse CA providers · Browse ZIP 91765
- Phone
- 9093960107
- Fax
- 9093960094
- Primary Specialty
-
Pediatric Dentistry
1223P0221X
Other Pediatric Dentistry Providers in DIAMOND BAR, CA
| Name | Credential | NPI |
|---|---|---|
| MRS. MAUREEN T SHORT | DDS | 1336216175 |
| MISS YU-WEI ASHLEY CHOU | DDS | 1871700997 |
| DR. BRIAN P LEE | D.D.S. | 1477094795 |
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.