Tionowidjaja, Enty
Tionowidjaja, Enty is an sole proprietor health care provider with primary practice located at 721 W. Whittier Blvd. Suite 'E', La Habra CA 90631-3772. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Tionowidjaja, Enty can be contacted via phone (562) 691-3688.Contact Information
Primary practice address
721 W. Whittier Blvd. Suite 'E'
La Habra CA 90631-3772
Phone: (562) 691-3688
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 37170 | California |
Profile Details
| NPI number | 1659438133 |
|---|---|
| LBN Legal business name | Tionowidjaja, Enty |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 3rd, 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.
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