RIDWAN SUDIRGO

MONTEBELLO, CA
NPI1811037443
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: CA  36010)
Enumeration Date2007-02-06
Last Update Date2007-07-09
Business Address
Dr. RIDWAN SUDIRGO D.D.S
2218 W BEVERLY BLVD
MONTEBELLO, CA 90640-2302
Phone number: 323-721-6221
Mailing Address
Dr. RIDWAN SUDIRGO D.D.S
PO BOX 3066
MONTEBELLO, CA 90640-8366
Phone number: 323-721-6221
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