Individual provider · Type 1 NPI

Yintawati A. Satyarahardja, DDS

Dentist · San Bernardino, CA

NPI number 1275695553 Active

Practice location

1199 N E St
San Bernardino, CA 92410-3507

Call (909) 381-6507 Map

Mailing address

1240 S Lark Ellen Ave
West Covina, CA 91791-3841

Specialties and licenses

Taxonomy	Code	License
Dentist Primary	122300000X	46955 (CA)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1275695553

Yintawati A. Satyarahardja, DDS's National Provider Identifier is 1275695553, issued on Dec 14, 2006. The primary taxonomy on file is Dentist (122300000X), and the practice location is in San Bernardino, CA. The record was last updated on Jul 8, 2007.