SearchCalifornia1223G0001X

Wijaya Sulaeman, D.D.S., M.A.G.D

NPI 1932101706 · on the registry since 2005

Practice

Address
25054 Base Line St
San Bernardino, CA 92410
Phone
(909) 889-9591
Fax
(909) 889-8721
Organisation at this address
Sulaeman Professional Dental, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
5

Registry record

Primary taxonomy
1223G0001X
1223G0001X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-07-13

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