SUSANTO DENTAL CORPORATION

LA PUENTE, CA
NPI1609061720
Entity TypeOrganization
Authorized ContactHANNY SUSANTO
President
626-401-0747
Organization Subpart ?No
Primary Taxonomy122300000X Dentist
(Licence: CA  39482)
Enumeration Date2007-09-11
Last Update Date2007-09-11
Business Address
SUSANTO DENTAL CORPORATION
1240 N HACIENDA BLVD STE 103
LA PUENTE, CA 91744-1663
Phone number: 626-931-2525
Mailing Address
SUSANTO DENTAL CORPORATION
10226 OLIVE ST
TEMPLE CITY, CA 91780-3346
Phone number: 626-401-0747
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