DION ADIPUTRA KENCANA

MONTCLAIR, CA
NPI1528709805
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: CA  200899)
Enumeration Date2022-04-02
Last Update Date2026-04-02
Business Address
DION ADIPUTRA KENCANA MD
9525 MONTE VISTA AVE UNIT 105
MONTCLAIR, CA 91763-2208
Phone number: 909-626-1205
Mailing Address
DION ADIPUTRA KENCANA MD
9525 MONTE VISTA AVE UNIT 105
MONTCLAIR, CA 91763-2208
Phone number: