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1851664601
INDHIRA AUDREY H. SULAEMAN
SAN BERNARDINO, CA
NPI
1851664601
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Former Name
INDHIRA HADISUBROTO SULAEMAN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA 36549)
Enumeration Date
2012-02-09
Last Update Date
2012-08-06
Business Address
-- INDHIRA AUDREY H. SULAEMAN D.D.S.
25054 BASE LINE ST
SAN BERNARDINO, CA 92410-4026
Phone number: 909-889-9591
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Mailing Address
-- INDHIRA AUDREY H. SULAEMAN D.D.S.
25054 BASE LINE ST
SAN BERNARDINO, CA 92410-4026
Phone number: 909-889-9591
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