WIJAYA SULAEMAN

SAN BERNARDINO, CA
NPI1932101706
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: CA  37166)
Enumeration Date2005-08-11
Last Update Date2007-07-08
Business Address
Dr. WIJAYA SULAEMAN D.D.S., M.A.G.D.
25054 BASE LINE ST
SAN BERNARDINO, CA 92410-4026
Phone number: 909-889-9591
Mailing Address
Dr. WIJAYA SULAEMAN D.D.S., M.A.G.D.
25054 BASE LINE ST
SAN BERNARDINO, CA 92410-4026
Phone number: 909-889-9591
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