Individual provider · Type 1 NPI

Ridwan Sudirgo, D.D.S

General Practice Dentistry · Montebello, CA

NPI number 1811037443 Active

Practice location

2218 W Beverly Blvd
Montebello, CA 90640-2302

Call (323) 721-6221 Map

Fax (323) 721-8641

Mailing address

PO Box 3066
Montebello, CA 90640-8366

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X36010 (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 1811037443

Ridwan Sudirgo, D.D.S's National Provider Identifier is 1811037443, issued on Feb 6, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Montebello, CA. The record was last updated on Jul 9, 2007.