DR. Poppy Widyastuti The, DDS
NPI #1992911408 in Winnetka, California
Provider Information
- NPI Number
- 1992911408
- Entity Type
- Individual
- Name
- DR. Poppy Widyastuti The, DDS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - Pediatric Dentistry
- Credential
- DDS
- Enumeration Date
- May 14, 2007
- Last Updated
- Apr 4, 2012
Practice Location
- Address
- 20800 SHERMAN WAY
- City
- Winnetka
- State
- California
- ZIP Code
- 91306-2707
- Phone
- (818) 883-2273
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Pediatric Dentistry — Pediatric Dentistry |
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