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

Individual provider General Practice Dentistry · NPI 1659438133

Enty Tionowidjaja, DDS is a General Practice Dentistry in LA Habra, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2007
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

721 W Whittier Blvd Ste 'E'
LA Habra, CA 90631-3772
Phone: (562) 691-3688
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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 37170 (CA)

Record details

NPI number1659438133
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorYes
NPI enumeratedJanuary 3, 2007
Last updated in NPPESJuly 8, 2007
Mailing address721 W. Whittier Blvd., Suite 'E, La Habra, CA 90631-3772

Other providers in LA Habra