Andre Widodo Dds A Professional Corporation
LBN: Andre Widodo Dds A Professional Corporation
Andre Widodo Dds A Professional Corporation is an health care organization with primary practice located at 11635 Valley Blvd Ste E , El Monte CA 91732-3071. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty.
Andre Widodo Dds A Professional Corporation can be contacted via phone (626) 444-7645, or through Widodo, Andre via phone (626) 444-7645.
Contact Information
Primary practice address
11635 Valley Blvd Ste E
El Monte CA 91732-3071
Phone: (626) 444-7645
Fax: (626) 444-7628
Website:
Authorized official contact:
Name: Widodo, Andre Doctor of Dental Surgery (DDS)
Phone: (626) 444-7645
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Ambulatory Health Care Facilities / Dental | 261QD0000X | 46152 | California |
Profile Details
NPI number | 1447583661 |
---|---|
LBN Legal business name | Andre Widodo Dds A Professional Corporation |
DBA Doing business as | |
Authorized official | Widodo, Andre Doctor of Dental Surgery (DDS) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Sep 8th, 2009 |
Last updated | Sep 8th, 2009 - about 15 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
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