Individual provider · Type 1 NPI
Erline Diona Poerwanto, D.D.S
General Practice Dentistry · San Francisco, CA
NPI number
1194152736
Active
Practice location
2155 Webster Street
San Francisco, CA 94115
Mailing address
PO Box 7194
Stockton, CA 95267-0194
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist | 122300000X | 62687 (CA) |
| General Practice Dentistry Primary | 1223G0001X | 62687 (CA) |
General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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About NPI 1194152736
Erline Diona Poerwanto, D.D.S's National Provider Identifier is 1194152736, issued on Sep 27, 2013. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in San Francisco, CA. The record was last updated on Sep 27, 2013.