Dr. Santoso Tirtawidjaja is a Los Angeles, California based Dentist who is specialized in Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Santoso Tirtawidjaja is 38931 for Dentistry in California. His current practice location is 1200 West Martin Luther King Blvd, Los Angeles. Patients can reach him at 323-295-8306.
Dr. Santoso Tirtawidjaja is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Dr. Santoso Tirtawidjaja 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. Santoso Tirtawidjaja
Specialization:
Dentist
Gender:
Male
Credentials:
DDS
Accepts Medicare Assignment:
No
Practice Address:
1200 West Martin Luther King Blvd, Los Angeles, California, 90037
Phone:
323-295-8306
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:
1295896850
NPI Enumeration Date:
13 Dec, 2006
NPI Last Update On:
08 Jul, 2007
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. Santoso Tirtawidjaja are as mentioned below.
License Number
Specialization
State
Status
38931
Dentistry
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:
541 De Sales St, San Gabriel, California
Zip:
91775-2135
Patients can reach Dr. Santoso Tirtawidjaja at 1200 West Martin Luther King Blvd, Los Angeles, California or can call to book an appointment on 323-295-8306. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 October, 2024.