Heru Wiredja,dds,inc is a Dental Clinic in Maywood, California. It is located at 6100 Atlantic Blvd, Suite I, Maywood, CA and its contact number is 323-771-7551. The authorized person for Heru Wiredja,dds,inc is Heru Wiredja
who is President of the clinic and their contact number is 323-771-7551. The primary license number for Heru Wiredja,dds,inc is 33408 (Dentist) in California. Heru Wiredja,dds,inc Clinic have dental surgeons who are specialized in dentistry, diagnosis, prevention, and treatment of diseases and conditions of the oral cavity. The dentist's supporting team aids in providing oral health services. The dental team includes dental assistants, dental hygienists, dental technicians, and sometimes dental therapists.
Complete Clinic Profile:
Heru Wiredja,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:
Heru Wiredja,dds,inc
Specialization:
Dentistry
Clinic Address:
6100 Atlantic Blvd, Suite I, Maywood, California, 90270-3131
Phone:
323-771-7551
Fax:
323-771-7881
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:
Heru Wiredja
Position:
President
Contact Number:
323-771-7551
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 Heru Wiredja,dds,inc clinic are as mentioned below.
NPI Number:
1659783918
NPI Enumeration Date:
21 May, 2014
NPI Last Update On:
21 May, 2014
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Heru Wiredja,dds,inc are as mentioned below.
Specialization
License Number
State
Status
Dentist
33408
California
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
33408-01
Other
California
Medical
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Heru Wiredja,dds,inc 6100 Atlantic Blvd, Suite I Maywood, California
Zip:
90270-3131
Phone Number:
323-771-7551
Fax Number:
323-771-7881
Patients can reach Heru Wiredja,dds,inc at 6100 Atlantic Blvd, Suite I, Maywood, California or can call to book an appointment on 323-771-7551. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 September, 2024.