Search › Virginia › 122300000X
Hardy Djulianto, DMD
NPI 1861978835 · on the registry since 2018 · sole proprietor
Practice
- Address
- 620 John Paul Jones Cir Bldg 12nd
Portsmouth, VA 23708 - Phone
- (757) 953-7591
- Organisation at this address
- Nmc
Nmcp
Dfas-Cl/Jflp
Nmc Portsmouth
United States NavyInferred from a shared address, not stated in the registry. - Clinicians at this address
- 1,649
Additional practice sites
- 23 Buttonwood Ave, Eatontown, NJ
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Licence states on file
- NJ
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-07-12
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 Virginia