Individual provider · Type 1 NPI

Damita Dora Wiredja, DDA

Dentist · Maywood, CA

NPI number 1740949056 Active

Practice location

6100 Atlantic Blvd Ste I
Maywood, CA 90270-3184

Call (323) 771-7551 Map

Fax (323) 771-7881

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000XDDS106565 (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 1740949056

Damita Dora Wiredja, DDA's National Provider Identifier is 1740949056, issued on Dec 14, 2021. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Maywood, CA. The record was last updated on Jan 5, 2022.