YUDI STEPHEN SUGIONO DDS NPI 1356404800

NPI Information

Yudi Stephen Sugiono, DDS is a general practice dentist in Riverside, 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. Yudi Stephen Sugiono, DDS NPI is 1356404800. 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:

7251 MAGNOLIA AVE
RIVERSIDE, CA
ZIP 92504
Phone: (951) 680-1932

The NPI 1356404800 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 12/18/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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