ANGELA NATALI SURYAKUSUMA

LOS ANGELES, CA
NPI1427861442
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2025-01-31
Last Update Date2025-01-31
Business Address
Dr. ANGELA NATALI SURYAKUSUMA DDS
10833 LE CONTE AVE # CHS20137
LOS ANGELES, CA 90095-3075
Phone number: 512-492-2237
Mailing Address
Dr. ANGELA NATALI SURYAKUSUMA DDS
2324 YAUPON RANGE DR
LEANDER, TX 78641-4995
Phone number: