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:
Map and Directions
Authorized official contact:
Name: Widodo, Andre Doctor of Dental Surgery (DDS)
Phone: (626) 444-7645

Health care specialties

SpecialtyCodeLicense #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 16 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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