Peter Sumarsono Professional Dental Corporation

LBN: Peter Sumarsono Professional Dental Corporation
Peter Sumarsono Professional Dental Corporation is an health care organization with primary practice located at 9110 Adams Avenue , Huntington Beach CA 92646. The organization recently has only one registered license in Managed Care Organizations / Preferred Provider Organization, which is considered as the primary health care specialty. Peter Sumarsono Professional Dental Corporation can be contacted via phone (714) 968-4487, or through Sumarsono, Peter Robertson via phone (714) 864-8261.

Contact Information

Primary practice address
9110 Adams Avenue Huntington Beach CA 92646
Phone: (714) 968-4487
Fax: (714) 968-1146
Website:
Map and Directions
Authorized official contact:
Name: Sumarsono, Peter Robertson Doctor of Dental Surgery (DDS)
Phone: (714) 864-8261

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Preferred Provider Organization 305R00000X 40736 California

Profile Details

NPI number 1033596788
LBN Legal business name Peter Sumarsono Professional Dental Corporation
DBA Doing business as
Authorized official Sumarsono, Peter Robertson Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date May 1st, 2015
Last updated May 1st, 2015 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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