Search › California › 1223G0001X
Mellisri Redjo - Setyono, D.D.S
NPI 1598803801 · on the registry since 2007 · sole proprietor
Practice
- Address
- 749 S Union Ave
Los Angeles, CA 90017 - Phone
- (213) 483-5616
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2013-02-19
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