Individual provider · Type 1 NPI
Andriani Ongkorahardjo, DDS
Pediatric Dentistry · Diamond Bar, CA
NPI number
1902941669
Active
Practice location
660 N Diamond Bar Blvd Ste 288
Diamond Bar, CA 91765-1070
Fax (909) 396-0094
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry Primary | 1223P0221X | 46120 (CA) |
Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Other pediatric dentistry providers in Diamond Bar
About NPI 1902941669
Andriani Ongkorahardjo, DDS's National Provider Identifier is 1902941669, issued on Feb 20, 2007. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Diamond Bar, CA. The record was last updated on Dec 3, 2024.