Heru Wiredja,Dds,Inc

LBN: Heru Wiredja,Dds,Inc
Heru Wiredja,Dds,Inc is an health care organization with primary practice located at 6100 Atlantic Blvd Suite I, Maywood CA 90270-3131. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Heru Wiredja,Dds,Inc can be contacted via phone (323) 771-7551, or through Wiredja, Heru via phone (323) 771-7551.

Contact Information

Primary practice address
6100 Atlantic Blvd Suite I Maywood CA 90270-3131
Phone: (323) 771-7551
Fax: (323) 771-7881
Website:
Map and Directions
Authorized official contact:
Name: Wiredja, Heru Doctor of Dental Surgery (DDS)
Phone: (323) 771-7551

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 33408 California

Profile Details

NPI number 1659783918
LBN Legal business name Heru Wiredja,Dds,Inc
DBA Doing business as
Authorized official Wiredja, Heru Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date May 21st, 2014
Last updated May 21st, 2014 - about 10 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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Identifiers

StateTypeNumberIssuer
All States NPI 1659783918 NPPES
California Other 33408-01 MEDICAL

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