K.sumardi Dds Inc. is a Dental Clinic in La Verne, California. It is located at 1965 Foothill Blvd Ste L, La Verne, CA and its contact number is 909-596-6500. The authorized person for K.sumardi Dds Inc. is Dr. Kusumo Sumardi
who is President of the clinic and their contact number is 909-596-6500. The primary license number for K.sumardi Dds Inc. is 41680 (General Practice) in California.
K.sumardi 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:
K.sumardi 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: | K.sumardi Dds Inc. |
| Specialization: | General Practice Dentistry |
| Clinic Address: | 1965 Foothill Blvd Ste L, La Verne, California, 91750-3502 |
| Phone: | 909-596-6500 |
| Fax: | 909-596-8809 |
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. Kusumo Sumardi |
| Position: | President |
| Contact Number: | 909-596-6500 |
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 K.sumardi Dds Inc. clinic are as mentioned below.
| NPI Number: | 1942603105 |
| NPI Enumeration Date: | 02 Oct, 2014 |
| NPI Last Update On: | 02 Oct, 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 K.sumardi Dds Inc. are as mentioned below.
| Specialization | License Number | State | Status | |
| General Practice | 41680 | 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: | K.sumardi Dds Inc. 1965 Foothill Blvd Ste L, La Verne, California |
| Zip: | 91750-3502 |
| Phone Number: | 909-596-6500 |
| Fax Number: | 909-596-8809 |
Patients can reach K.sumardi Dds Inc. at
1965 Foothill Blvd Ste L, La Verne, California or can
call to book an appointment on 909-596-6500.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.