Teeth 'r' US Children's Dentistry
NPI #1063803054 in Diamond Bar, California
Provider Information
- NPI Number
- 1063803054
- Entity Type
- Organization
- Organization Name
- Teeth 'r' US Children's Dentistry
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Feb 11, 2015
- Last Updated
- Sep 14, 2016
Practice Location
- Address
- 660 N DIAMOND BAR BLVD
- Address 2
- STE 288
- City
- Diamond Bar
- State
- California
- ZIP Code
- 91765-1008
- Phone
- (909) 396-0107
Authorized Official
- Name
- DR. ANDRIANI ONGKORAHARDJO, D.D.S.
- Title
- OWNER
- Phone
- (909) 396-0107
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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