Pribadi, Darmawan

Pribadi, Darmawan is an individual health care provider with primary practice located at 1051 South Garey Avenue , Pomona CA 91766. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Pribadi, Darmawan can be contacted via phone (909) 620-0600.

Contact Information

Primary practice address
1051 South Garey Avenue Pomona CA 91766
Phone: (909) 620-0600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 33651 California

Profile Details

NPI number 1508908534
LBN Legal business name Pribadi, Darmawan
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2007
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1508908534 NPPES
California MEDICAID B 33651 01

Popular Providers