Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Heru Wiredja, DDS

Individual provider General Practice Dentistry · NPI 1962532267

Heru Wiredja, DDS practises General Practice Dentistry in Maywood, California. Licensed in California. Registered with an NPI since 2007.

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

6100 Atlantic Blvd Ste I
Maywood, CA 90270-3184 Not confirmed with CMS for 19 years — call before visiting
Phone: (323) 771-7551
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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 B33408-01 (CA)

Record details

NPI number1962532267
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedMarch 6, 2007
Last updated in NPPESJuly 8, 2007

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