Kusumo Sumardi is a La Verne, 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 Kusumo Sumardi is 41680 for General Practice Dentistry in California. His current practice location is 1965 Foothill Blvd, Suite L, La Verne. Patients can reach him at 909-596-6500.
Kusumo Sumardi 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:
Kusumo Sumardi 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:
Kusumo Sumardi
Specialization:
Dentist
Gender:
Male
Credentials:
D.D.S.
Accepts Medicare Assignment:
No
Practice Address:
1965 Foothill Blvd, Suite L, La Verne, California, 91750-3502
Phone:
909-596-6500
Fax:
909-596-8809
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:
1811037435
NPI Enumeration Date:
06 Feb, 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 Kusumo Sumardi are as mentioned below.
License Number
Specialization
State
Status
41680
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:
3870 Grand Ave, Claremont, California
Zip:
91711-1454
Phone Number:
909-621-9088
Patients can reach Kusumo Sumardi at 1965 Foothill Blvd, Suite L, La Verne, California or can call to book an appointment on 909-596-6500. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 September, 2024.