Enty Tionowidjaja is a La Habra, California based Dentist who is specialized in General Practice Dentistry. She does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Enty Tionowidjaja is 37170 for General Practice Dentistry in California. Her current practice location is 721 W. Whittier Blvd., Suite 'e', La Habra. Patients can reach her at 562-691-3688.
Enty Tionowidjaja 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:
Enty Tionowidjaja 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:
Enty Tionowidjaja
Specialization:
Dentist
Gender:
Female
Credentials:
D.D.S.
Accepts Medicare Assignment:
No
Practice Address:
721 W. Whittier Blvd., Suite 'e', La Habra, California, 90631-3772
Phone:
562-691-3688
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:
1659438133
NPI Enumeration Date:
03 Jan, 2007
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 Enty Tionowidjaja are as mentioned below.
License Number
Specialization
State
Status
37170
General Practice 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:
721 W. Whittier Blvd., Suite 'e' La Habra, California
Zip:
90631-3772
Phone Number:
562-691-3688
Patients can reach Enty Tionowidjaja at 721 W. Whittier Blvd., Suite 'e', La Habra, California or can call to book an appointment on 562-691-3688. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 September, 2024.