Search › California › 1223G0001X
Hartanto Justin, DDS
NPI 1205982311 · on the registry since 2007
Practice
- Address
- 3231 N Broadway
Los Angeles, CA 90031 - Phone
- (323) 221-6090
- Organisation at this address
- Hartanto L. Justin D.D.S. , Inc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California