DR. Patricia Hadiwidjaja Gusti, DDS

NPI #1740578467 in Fullerton, California

Provider Information

NPI Number
1740578467
Entity Type
Individual
Name
DR. Patricia Hadiwidjaja Gusti, DDS
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
DDS
Enumeration Date
Jul 15, 2011
Last Updated
Jan 17, 2024

Practice Location

Address
1012 E BASTANCHURY RD
ZIP Code
92835-2782
Phone
(714) 257-1220

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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