Joshua Kusumo, D.D.S

NPI #1144698341 in Claremont, California

Provider Information

NPI Number: 1144698341
Entity Type: Individual
Name: Joshua Kusumo, D.D.S
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: D.D.S
Enumeration Date: Sep 4, 2015
Last Updated: Sep 4, 2015

Practice Location

Address: 324 S INDIAN HILL BLVD
City: Claremont
State: California
ZIP Code: 91711-5289
Phone: (909) 625-3600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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