Peter Sumarsono Professional Dental Corporation
Peter Sumarsono Professional Dental Corporation is a Preferred Provider Organization in Huntington Beach, California. Licensed in California. Registered with an NPI since 2015.
- Licensed in
- CA
- In the registry since
- 2015
Practice location Address checks out
9110 Adams AveHuntington Beach, CA 92646
Phone: (714) 968-4487
Fax: (714) 968-1146
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Preferred Provider Organization (primary) | Taxonomy 305R00000X · Licence 40736 (CA) |
|---|
Record details
| NPI number | 1033596788 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Peter Sumarsono — Dentist · (714) 864-8261 |
| NPI enumerated | May 1, 2015 |
| Last updated in NPPES | May 1, 2015 |
| Mailing address | 18543 Yorba Linda Blvd. #250, Yorba Linda, CA 92886 |
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