Luwiharto, Sheila M Tedja

Luwiharto, Sheila M Tedja is an individual health care provider with primary practice located at 27001 La Paz Rd Ste 236 , Mission Viejo CA 92691-5537. She recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Orthodontics and Dentofacial Orthopedics. Dental Providers / Orthodontics and Dentofacial Orthopedics is her primary health care specialty. Luwiharto, Sheila M Tedja can be contacted via phone (949) 768-0211.

Contact Information

Primary practice address
27001 La Paz Rd Ste 236 Mission Viejo CA 92691-5537
Phone: (949) 768-0211
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 60139 California
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 60139 California

Profile Details

NPI number 1710265251
LBN Legal business name Luwiharto, Sheila M Tedja
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2011
Last updated Feb 28th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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