THOMAS SUDIBJO

TUSTIN, CA
NPI1891834099
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: CA  45983)
Enumeration Date2007-02-05
Last Update Date2007-07-08
Business Address
Dr. THOMAS SUDIBJO DMD
1096 IRVINE BLVD
TUSTIN, CA 92780-3527
Phone number: 714-838-6777
Mailing Address
Dr. THOMAS SUDIBJO DMD
1096 IRVINE BLVD
TUSTIN, CA 92780-3527
Phone number: 714-838-6777
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