ANDY KUSUMO DDS INC is a general practice dentist in Anaheim, CA. The provider is 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. ANDY KUSUMO DDS INC NPI is 1255721254. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
501 N BROOKHURST ST STE 100
ANAHEIM, CA
ZIP 92801-202
Phone: (657) 201-3084
The provider's authorized official is Tjahjadi Andy Kusumo .
The authorized official title is President and has the following contact phone number (949) 769-0495.
The enumeration date for this NPI number is 1/28/2015 and was last updated on 1/28/2015.