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 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.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.