Heru Wiredja, DDS - Dentist in Maywood, CA

Heru Wiredja, DDS is a Dentist - General Practice based in Maywood, California. Heru Wiredja is licensed to practice in California (license number B33408-01) and his current practice location is 6100 Atlantic Blvd Ste I, Maywood, California. He can be reached at his office (for appointments etc.) via phone at (323) 771-7551.

NPI number for Heru Wiredja is 1962532267 and his current mailing address is 6100 Atlantic Blvd Ste I, Maywood, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1962532267.

Contact Information

Heru Wiredja, DDS
6100 Atlantic Blvd Ste I,
Maywood, CA 90270-3184
(323) 771-7551
Not Available



Healthcare Provider's Profile

Full NameHeru Wiredja
GenderMale
SpecialityDentist - General Practice
Location6100 Atlantic Blvd Ste I, Maywood, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1962532267
  • Provider Enumeration Date: 03/06/2007
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Heru Wiredja such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1962532267NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice B33408-01 (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. Heru 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
Heru Wiredja, DDS
6100 Atlantic Blvd Ste I,
Maywood, CA 90270-3184

Ph: (323) 771-7551
Heru Wiredja, DDS
6100 Atlantic Blvd Ste I,
Maywood, CA 90270-3184

Ph: (323) 771-7551

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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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