Individual provider · Type 1 NPI

Poppy Widyastuti The, DDS

Pediatric Dentistry · Winnetka, CA

NPI number 1992911408 Active

Practice location

20800 Sherman Way
Winnetka, CA 91306-2707

Call (818) 883-2273 Map

Fax (818) 896-1074

Mailing address

8902 Woodman Ave
Arleta, CA 91331-6401

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221X26289 (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.

22 other providers at this address

About NPI 1992911408

Poppy Widyastuti The, DDS's National Provider Identifier is 1992911408, issued on May 14, 2007. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Winnetka, CA. The record was last updated on Apr 4, 2012.