Andy Kusumo Dds Inc is a Dental Clinic in Anaheim, California. It is located at 501 N Brookhurst St Ste 100, Anaheim, CA and its contact number is 657-201-3084. The authorized person for Andy Kusumo Dds Inc is Dr. Tjahjadi Andy Kusumo
who is President of the clinic and their contact number is 949-769-0495. The primary license number for Andy Kusumo Dds Inc is 49917 (General Practice) in California. Andy Kusumo Dds Inc Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
Andy Kusumo Dds Inc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Andy Kusumo Dds Inc
Specialization:
General Practice Dentistry
Clinic Address:
501 N Brookhurst St Ste 100, Anaheim, California, 92801-5202
Phone:
657-201-3084
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Dr. Tjahjadi Andy Kusumo
Position:
President
Contact Number:
949-769-0495
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Andy Kusumo Dds Inc clinic are as mentioned below.
NPI Number:
1255721254
NPI Enumeration Date:
28 Jan, 2015
NPI Last Update On:
28 Jan, 2015
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Andy Kusumo Dds Inc are as mentioned below.
Specialization
License Number
State
Status
General Practice
49917
California
Primary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Andy Kusumo Dds Inc 222 S Emerald St, Anaheim, California
Zip:
92804-2525
Phone Number:
949-769-0495
Patients can reach Andy Kusumo Dds Inc at 501 N Brookhurst St Ste 100, Anaheim, California or can call to book an appointment on 657-201-3084. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.