RICHARD I SUTEDJA

FREMONT, CA
NPI1235337536
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: CA  33710)
Enumeration Date2007-07-07
Last Update Date2007-07-08
Business Address
-- RICHARD I SUTEDJA DDS
4545 MATTOS DR
FREMONT, CA 94536-6736
Phone number: 510-797-3769
Mailing Address
-- RICHARD I SUTEDJA DDS
4545 MATTOS DR
FREMONT, CA 94536-6736
Phone number: 510-797-3769