Dr Damita Dora Wiredja, DDA - Dentist in Maywood, CA

Dr Damita Dora Wiredja, DDA is a Dentist based in Maywood, California. Dr Damita Dora Wiredja is licensed to practice in California (license number DDS106565) and her current practice location is 6100 Atlantic Blvd Ste I, Maywood, California. She can be reached at her office (for appointments etc.) via phone at (323) 771-7551.

NPI number for Dr Damita Dora Wiredja is 1740949056 and her current mailing address is 6100 Atlantic Blvd Ste I, Maywood, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1740949056.

Contact Information

Dr Damita Dora Wiredja, DDA
6100 Atlantic Blvd Ste I,
Maywood, CA 90270-3184
(323) 771-7551
(323) 771-7881



Healthcare Provider's Profile

Full NameDr Damita Dora Wiredja
GenderFemale
SpecialityDentist
Location6100 Atlantic Blvd Ste I, Maywood, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1740949056
  • Provider Enumeration Date: 12/14/2021
  • Last Update Date: 01/05/2022

Medical Identifiers

Medical identifiers for Dr Damita Dora Wiredja such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1740949056NPI-NPPES
DDS106565OtherCAPRIVATE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
122300000XDentist DDS106565 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Damita Dora Wiredja is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Damita Dora Wiredja, DDA
6100 Atlantic Blvd Ste I,
Maywood, CA 90270-3184

Ph: (323) 771-7551
Dr Damita Dora Wiredja, DDA
6100 Atlantic Blvd Ste I,
Maywood, CA 90270-3184

Ph: (323) 771-7551

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› Verified 9 days ago


Dentist in Maywood, CA

Mr. Terry D. Ahn, D.D.S.
Dentist
Medicare: Medicare Enrolled
Practice Location: 6059 Atlantic Blvd, Maywood, CA 90270
Phone: 323-560-3131    Fax: 323-560-3500
Dr. Henry C Wong,
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 4332 Slauson Ave, Maywood, CA 90270
Phone: 323-771-7777    
Hari K Reddy, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 4428 Slauson Ave, Maywood, CA 90270
Phone: 323-773-0855    Fax: 323-773-0043
Dr. Malakeh Zahedi, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 4487 Slauson Ave, Maywood, CA 90270
Phone: 323-773-3094    Fax: 323-773-6235
Dr. Heather Deanna Winther, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 4001 Slauson Ave, Maywood, CA 90270
Phone: 323-581-4008    
Dr. Anh D. Hoang,
Dentist
Medicare: Medicare Enrolled
Practice Location: 4487 Slauson Ave, Maywood, CA 90270
Phone: 323-773-9961    Fax: 323-773-6235
Dr. James T Wong, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 5714 Atlantic Blvd, Maywood, CA 90270
Phone: 323-581-4008    Fax: 323-581-5689

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