MR. Soedharsono Judo, DDS

NPI #1093873218 in Pomona, California

Provider Information

NPI Number: 1093873218
Entity Type: Individual
Name: MR. Soedharsono Judo, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Dec 4, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 1087 NORTH PARK AVENUE
City: Pomona
State: California
ZIP Code: 91768-3026
Phone: (909) 629-0201

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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