KEVIN MICHAEL HADIDJAJA

LOS ANGELES, CA
NPI1538765086
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: CA  DDS105752)
Enumeration Date2020-12-09
Last Update Date2020-12-09
Business Address
KEVIN MICHAEL HADIDJAJA
905 E 2ND ST APT 336
LOS ANGELES, CA 90012-4465
Phone number: 310-347-8432
Mailing Address
KEVIN MICHAEL HADIDJAJA
905 E 2ND ST APT 336
LOS ANGELES, CA 90012-4465
Phone number: 310-347-8432