Peter Sumarsono Professional Dental Corporation
Peter Sumarsono Professional Dental Corporation is a Preferred Provider Organization in Irvine, California. Licensed in California. Registered with an NPI since 2014.
- Licensed in
- CA
- In the registry since
- 2014
Practice location Address checks out
4605 Barranca Parkway 200Irvine, CA 92604
Phone: (714) 864-8261
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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 | 1326443920 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Caroline Sumarsono — Office Manager · (714) 864-8261 |
| NPI enumerated | October 27, 2014 |
| Last updated in NPPES | October 27, 2014 |
| Mailing address | 4605 Barranca Pkwy Ste 200, Irvine, CA 92604-1729 |
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