Tjahjadi Kusumo-rahardjo, DDS 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. Tjahjadi Kusumo-rahardjo, DDS NPI is 1245366020. 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:
222 S EMERALD ST
ANAHEIM, CA
ZIP 92804-525
Phone: (949) 769-0495
Fax: (714) 400-2085
The enumeration date for this NPI number is 2/26/2007 and was last updated on 5/7/2013.