Mrs. Teresita Jahja Judo is a Pomona, California based Dentist who is specialized in
Dentistry. She does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Mrs. Teresita Jahja Judo is
36942 for Dentistry in California. Her current practice location is
1087 North Park Avenue, Pomona. Patients can reach her at
909-629-0201.
Mrs. Teresita Jahja Judo 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:
Mrs. Teresita Jahja Judo 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: | Mrs. Teresita Jahja Judo |
| Specialization: | Dentist |
| Gender: | Female |
| Credentials: | DDS |
| Accepts Medicare Assignment: | No |
| Practice Address: | 1087 North Park Avenue, Pomona,
California, 91768-3026 |
| Phone: | 909-629-0201 |
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: | 1538235635 |
| NPI Enumeration Date: | 28 Nov, 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 Mrs. Teresita Jahja Judo are as mentioned below.
| License Number | Specialization | State | Status | |
| 36942 | Dentistry | California | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Mrs. Teresita Jahja Judo such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| D36942 | Medicaid | California | |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1087 North Park Avenue,
Pomona, California |
| Zip: | 91768-3026 |
| Phone Number: | 909-629-0201 |
Patients can reach Mrs. Teresita Jahja Judo at
1087 North Park Avenue, Pomona, California or can
call to book an appointment on 909-629-0201.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.