ENTY TIONOWIDJAJA

LA HABRA, CA
NPI1659438133
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: CA  37170)
Enumeration Date2007-01-03
Last Update Date2007-07-08
Business Address
-- ENTY TIONOWIDJAJA D.D.S.
721 W. WHITTIER BLVD. SUITE "E"
LA HABRA, CA 90631-3772
Phone number: 562-691-3688
Mailing Address
-- ENTY TIONOWIDJAJA D.D.S.
721 W. WHITTIER BLVD. SUITE "E"
LA HABRA, CA 90631-3772
Phone number: 562-691-3688
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