Search › California › 122300000X
Agung Pribadi, DDS
NPI 1235378498 · on the registry since 2009
Practice
- Address
- 600 E Whittier Blvd
La Habra, CA 90631 - Phone
- (562) 691-3070
- Fax
- (562) 691-7198
- Organisation at this address
- Agung Pribadi Dds Inc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2009-02-11
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