DR. Christa Marie Widjaja, OD

NPI #1053920546 in Plano, Texas

Provider Information

NPI Number
1053920546
Entity Type
Individual
Name
DR. Christa Marie Widjaja, OD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Optometrist
Credential
OD
Enumeration Date
Jul 30, 2020
Last Updated
Oct 5, 2021

Practice Location

Address
5900 COIT RD
City
Plano
State
Texas
ZIP Code
75023-5959
Phone
(972) 985-1412

Specialties & Taxonomy Codes

Specialty
Optometrist

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