MONTRY S. SUPRONO

LOMA LINDA, CA
NPI1821249913
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223P0700X Dentist, Prosthodontics
(Licence: CA  56324)
Enumeration Date2008-10-07
Last Update Date2008-10-07
Business Address
-- MONTRY S. SUPRONO DDS
11092 ANDERSON STREET LLU SCHOOL OF DENTISTRY
LOMA LINDA, CA 92350-0001
Phone number: 909-558-4613
Mailing Address
-- MONTRY S. SUPRONO DDS
11092 ANDERSON STREET LLU SCHOOL OF DENTISTRY
LOMA LINDA, CA 92350-0001
Phone number: 909-558-4613
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