Murijono Reksoatmodjo, DDS

NPI #1598811481 in Felton, California

Provider Information

NPI Number: 1598811481
Entity Type: Individual
Name: Murijono Reksoatmodjo, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Jan 25, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 6230 GUSHEE ST
City: Felton
State: California
ZIP Code: 95018-9129
Phone: (831) 335-5324

Specialties & Taxonomy Codes

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

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