Eddy B Sugiarto, DDS

NPI #1275665994 in La Habra, California

Provider Information

NPI Number: 1275665994
Entity Type: Individual
Name: Eddy B Sugiarto, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Mar 9, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 1400 LAS PALMAS DR
Address 2: #1
City: La Habra
State: California
ZIP Code: 90631-7504
Phone: (714) 525-2381

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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