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Search › California › General Practice Dentistry

Thomas Sudibjo, DMD

NPI 1891834099 · on the registry since 2007

Practice

Address
1096 Irvine Blvd
Tustin, CA 92780
Phone
(714) 838-6777
Fax
(714) 838-8277
Organisation at this address
Linda Phi, Dds, Inc.
Ju Y Lee Dental Corporation
Inferred from a shared address, not stated in the registry.

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
2026-08-07

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