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

TaxonomyCodeLicense
Dentist 122300000X62687 (CA)
General Practice Dentistry Primary 1223G0001X62687 (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.