HERU WIREDJA DDS NPI 1962532267

NPI Information

Heru Wiredja, DDS is a general practice dentist in Maywood, 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. Heru Wiredja, DDS NPI is 1962532267. 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:

6100 ATLANTIC BLVD STE I
MAYWOOD, CA
ZIP 90270-184
Phone: (323) 771-7551

The enumeration date for this NPI number is 3/6/2007 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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