Individual provider · Type 1 NPI

Patricia Hadiwidjaja Gusti, DDS

General Practice Dentistry · Fullerton, CA

NPI number 1740578467 Active

Practice location

1012 E Bastanchury Rd
Fullerton, CA 92835-2782

Call (714) 257-1220 Map

Mailing address

10256 Lotus Ct
Stanton, CA 90680-8506

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X60534 (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 1740578467

Patricia Hadiwidjaja Gusti, DDS's National Provider Identifier is 1740578467, issued on Jul 15, 2011. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Fullerton, CA. The record was last updated on Jan 17, 2024.