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1649348970
YUDI TEDJAKUSNADI
RIVERSIDE, CA
NPI
1649348970
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA 41795)
Enumeration Date
2006-12-04
Last Update Date
2007-07-08
Business Address
-- YUDI TEDJAKUSNADI DDS
3560 ARLINGTON AVE
RIVERSIDE, CA 92506-3936
Phone number: 909-680-1200
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Mailing Address
-- YUDI TEDJAKUSNADI DDS
PO BOX 3430
FULLERTON, CA 92834-3430
Phone number: 909-680-1200
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