DR. Yeni Sutanto, D.D.S
NPI #1508876277 in Van Nuys, California
Provider Information
- NPI Number
- 1508876277
- Entity Type
- Individual
- Name
- DR. Yeni Sutanto, D.D.S
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- D.D.S
- Enumeration Date
- Aug 8, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 6931 VAN NUYS BLVD
- Address 2
- SUITE, #100
- City
- Van Nuys
- State
- California
- ZIP Code
- 91405-3937
- Phone
- (818) 988-8080
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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