Individual provider · Type 1 NPI

Peter Robertson Sumarsono, D.D.S

General Practice Dentistry · Irvine, CA

NPI number 1568617587 Active

Practice location

62 Corporate Park, Barranca Medical Plaza, Suite 200
Irvine, CA 92606

Fax (714) 572-0572

Mailing address

17092 Vista Moraga
Yorba Linda, CA 92886-6209

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X40736 (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 1568617587

Peter Robertson Sumarsono, D.D.S's National Provider Identifier is 1568617587, issued on Nov 18, 2008. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Irvine, CA. The record was last updated on Jan 12, 2010.