Heru Wiredja, DDS
NPI #1962532267 in Maywood, California
Provider Information
- NPI Number
- 1962532267
- Entity Type
- Individual
- Name
- Heru Wiredja, DDS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- Mar 6, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 6100 ATLANTIC BLVD STE I
- City
- Maywood
- State
- California
- ZIP Code
- 90270-3184
- Phone
- (323) 771-7551
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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