Dr. Damita Dora Wiredja is a Maywood, California based Dentist who is specialized in Dentistry. She does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Damita Dora Wiredja is DDS106565 for Dentistry in California. Her current practice location is 6100 Atlantic Blvd Ste I, Maywood. Patients can reach her at 323-771-7551.
Dr. Damita Dora Wiredja is the primary dental care provider for patients of all ages. She is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Dr. Damita Dora Wiredja speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Dr. Damita Dora Wiredja
Specialization:
Dentist
Gender:
Female
Credentials:
DDA
Accepts Medicare Assignment:
No
Practice Address:
6100 Atlantic Blvd Ste I, Maywood, California, 90270-3184
Phone:
323-771-7551
Fax:
323-771-7881
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 are as mentioned below.
NPI Number:
1740949056
NPI Enumeration Date:
14 Dec, 2021
NPI Last Update On:
05 Jan, 2022
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Damita Dora Wiredja are as mentioned below.
License Number
Specialization
State
Status
DDS106565
Dentistry
California
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Damita Dora Wiredja such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
DDS106565
Other
California
PRIVATE
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
6100 Atlantic Blvd Ste I, Maywood, California
Zip:
90270-3184
Phone Number:
323-771-7551
Fax Number:
323-771-7881
Patients can reach Dr. Damita Dora Wiredja at 6100 Atlantic Blvd Ste 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.