Kusumo Sumardi, D.D.S. is a general practice dentist in La Verne, 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. Kusumo Sumardi, D.D.S. NPI is 1811037435. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
1965 FOOTHILL BLVD
SUITE L
LA VERNE, CA
ZIP 91750-502
Phone: (909) 596-6500
Fax: (909) 596-8809
The enumeration date for this NPI number is 2/6/2007 and was last updated on 7/8/2007.