Kevin Michael Hadidjaja is a Los Angeles, California based Dentist who is specialized in General Practice Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Kevin Michael Hadidjaja is DDS105752 for General Practice Dentistry in California. His current practice location is 905 E 2nd St Apt 336, Los Angeles. Patients can reach him at 310-347-8432.
Kevin Michael Hadidjaja 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:
Kevin Michael Hadidjaja 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:
Kevin Michael Hadidjaja
Specialization:
Dentist
Gender:
Male
Accepts Medicare Assignment:
No
Practice Address:
905 E 2nd St Apt 336, Los Angeles, California, 90012-4465
Phone:
310-347-8432
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:
1538765086
NPI Enumeration Date:
09 Dec, 2020
NPI Last Update On:
09 Dec, 2020
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kevin Michael Hadidjaja are as mentioned below.
License Number
Specialization
State
Status
DDS105752
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:
905 E 2nd St Apt 336, Los Angeles, California
Zip:
90012-4465
Phone Number:
310-347-8432
Patients can reach Kevin Michael Hadidjaja at 905 E 2nd St Apt 336, Los Angeles, California or can call to book an appointment on 310-347-8432. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 October, 2024.