Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

K Sumardi DDS Inc

Organization General Practice Dentistry · NPI 1942603105

K Sumardi DDS Inc is a General Practice Dentistry in LA Verne, California. Licensed in California. Registered with an NPI since 2014.

Licensed in
CA
In the registry since
2014
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1965 Foothill Blvd Ste L
LA Verne, CA 91750-3502
Phone: (909) 596-6500
Fax: (909) 596-8809
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 41680 (CA)

Record details

NPI number1942603105
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kusumo Sumardi — President · (909) 596-6500
NPI enumeratedOctober 2, 2014
Last updated in NPPESOctober 2, 2014
Mailing address1965 Foothill Blvd Ste L, La Verne, CA 91750-3502

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