Susanto, Hanny
Susanto, Hanny is an individual health care provider with primary practice located at 1240 N Hacienda Blvd Ste 103 , La Puente CA 91744-1663. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Susanto, Hanny can be contacted via phone (626) 931-2525.Contact Information
Primary practice address
1240 N Hacienda Blvd Ste 103
La Puente CA 91744-1663
Phone: (626) 931-2525
Fax: (626) 931-2527
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / General Practice | 1223G0001X | 39482 | California |
Profile Details
NPI number | 1689770299 |
---|---|
LBN Legal business name | Susanto, Hanny |
Credentials | Doctor of Dental Surgery (DDS) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 15th, 2006 |
Last updated | Jul 8th, 2007 - about 18 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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