Individual provider · Type 1 NPI
Santoso Tirtawidjaja, DDS
Dentist · Los Angeles, CA
Practice location
1200 West Martin Luther King Blvd
Los Angeles, CA 90037
Mailing address
541 De Sales St
San Gabriel, CA 91775-2135
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist Primary | 122300000X | 38931 (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 1295896850
Santoso Tirtawidjaja, DDS's National Provider Identifier is 1295896850, issued on Dec 13, 2006. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Los Angeles, CA. The record was last updated on Jul 8, 2007.