Individual provider · Type 1 NPI

Enty Tionowidjaja, DDS

General Practice Dentistry · La Habra, CA

NPI number 1659438133 Active

About NPI 1659438133

Enty Tionowidjaja, DDS's National Provider Identifier is 1659438133, issued on Jan 3, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in La Habra, CA. The record was last updated on Jul 8, 2007.