HANSEL POERWANTO

SACRAMENTO, CA
NPI1629521703
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: CA  100447)
Enumeration Date2016-07-26
Last Update Date2023-01-23
Business Address
HANSEL POERWANTO DDS
1860 HOWE AVE STE 440
SACRAMENTO, CA 95825-1098
Phone number: 916-569-8484
Mailing Address
HANSEL POERWANTO DDS
PO BOX 7194
STOCKTON, CA 95267-0194
Phone number:
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