Individual provider · Type 1 NPI

Andre Widodo, DDS

General Practice Dentistry · Pomona, CA

NPI number 1508901257 Active

Practice location

2112 S Garey Ave Ste A
Pomona, CA 91766-5600

Call (909) 590-5600 Map

Fax (909) 590-5606

Other practice locations

5562 Philadelphia St Ste 103, Chino, CA 91710-2482 · (909) 670-1100

Specialties and licenses

Taxonomy	Code	License
General Practice Dentistry Primary	1223G0001X	46152 (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.

2 other providers at this address

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About NPI 1508901257

Andre Widodo, DDS's National Provider Identifier is 1508901257, issued on Feb 20, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Pomona, CA. The record was last updated on Apr 25, 2022.