Search › California › 1223X0400X
Jessica Suhardjo, DMD, MS
NPI 1518749050 · on the registry since 2023 · sole proprietor
Practice
- Address
- 15290 Bear Valley Rd Ste B
Victorville, CA 92395 - Phone
- (760) 493-3215
- Organisation at this address
- Western Dental Services, Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 9
Additional practice sites
- 4834 Etiwanda Ave Ste 200, Jurupa Valley, CA
Registry record
- Primary taxonomy
- 1223X0400X
1223X0400X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-10-18
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