Dr. Poppy Widyastuti The is a Winnetka, California based Pediatric Dentist who is specialized in Pediatric Dentistry. She does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Poppy Widyastuti The is 26289 for Pediatric Dentistry in California. Her current practice location is 20800 Sherman Way, Winnetka. Patients can reach her at 818-883-2273.
Dr. Poppy Widyastuti The provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Complete Profile:
Dr. Poppy Widyastuti The 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.
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:
1992911408
NPI Enumeration Date:
14 May, 2007
NPI Last Update On:
04 Apr, 2012
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. Poppy Widyastuti The are as mentioned below.
License Number
Specialization
State
Status
26289
Pediatric Dentistry
California
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Poppy Widyastuti The such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
1083624423
Medicaid
California
1538130893
Medicaid
California
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
8902 Woodman Ave, Arleta, California
Zip:
91331-6401
Phone Number:
818-830-7133
Fax Number:
818-830-7280
Patients can reach Dr. Poppy Widyastuti The at 20800 Sherman Way, Winnetka, California or can call to book an appointment on 818-883-2273. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 September, 2024.