Wiredja, Heru
Wiredja, Heru is an individual health care provider with primary practice located at 6100 Atlantic Blvd Ste I , Maywood CA 90270-3184. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Wiredja, Heru can be contacted via phone (323) 771-7551.Contact Information
Primary practice address
6100 Atlantic Blvd Ste I
Maywood CA 90270-3184
Phone: (323) 771-7551
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | B33408-01 | California |
Profile Details
| NPI number | 1962532267 |
|---|---|
| LBN Legal business name | Wiredja, Heru |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 6th, 2007 |
| 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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