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

Dr. Wijaya Sulaeman, DDS, MAGD

Individual provider General Practice Dentistry · NPI 1932101706

Dr. Wijaya Sulaeman, DDS, MAGD is a General Practice Dentistry in San Bernardino, California. Licensed in California. Registered with an NPI since 2005.

Licensed in
CA
In the registry since
2005
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

25054 Base Line St
San Bernardino, CA 92410-4026
Phone: (909) 889-9591
Fax: (909) 889-8721
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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 37166 (CA)

Record details

NPI number1932101706
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS , MAGD
Sole proprietorNo
NPI enumeratedAugust 11, 2005
Last updated in NPPESJuly 13, 2026

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