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1518749050
JESSICA SUHARDJO
VICTORVILLE, CA
NPI
1518749050
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: CA DDS108563)
Enumeration Date
2023-10-18
Last Update Date
2023-10-18
Business Address
Dr. JESSICA SUHARDJO DMD, MS
15290 BEAR VALLEY RD STE B
VICTORVILLE, CA 92395-8515
Phone number: 760-493-3215
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Mailing Address
Dr. JESSICA SUHARDJO DMD, MS
2167 N 1ST AVE
UPLAND, CA 91784-1446
Phone number: 909-331-8445
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