Tionowidjaja, Enty

Tionowidjaja, Enty is an sole proprietor health care provider with primary practice located at 721 W. Whittier Blvd. Suite 'E', La Habra CA 90631-3772. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Tionowidjaja, Enty can be contacted via phone (562) 691-3688.

Contact Information

Primary practice address
721 W. Whittier Blvd. Suite 'E' La Habra CA 90631-3772
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 37170 California

Profile Details

NPI number 1659438133
LBN Legal business name Tionowidjaja, Enty
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 3rd, 2007
Last updated Jul 8th, 2007 - about 17 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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