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Search › California › General Practice Dentistry

Kusumo Sumardi, D.D.S

NPI 1811037435 · on the registry since 2007 · sole proprietor

Practice

Address
1965 Foothill Blvd
Suite L
La Verne, CA 91750
Phone
(909) 596-6500
Fax
(909) 596-8809
Organisation at this address
K.Sumardi Dds Inc.
Azam Aleemuddin Dds, Inc.
Lifestyle Hearing Aid Solutions
Lifestyle Hearing Aid Solutions Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
General Practice Dentistry
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