| Tjahjadi Kusumo-rahardjo, DDS | |
|
222 S Emerald St, Anaheim, CA 92804-2525 | |
| (949) 769-0495 | |
| (714) 400-2085 |
| Full Name | Tjahjadi Kusumo-rahardjo |
|---|---|
| Gender | Male |
| Speciality | Dentist - General Practice |
| Location | 222 S Emerald St, Anaheim, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245366020 | NPI | - | NPPES |
| D49917 | Other | CA | DENTIST |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 49917 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Tjahjadi Kusumo-rahardjo, DDS 222 S Emerald St, Anaheim, CA 92804-2525 Ph: (949) 769-0495 | Tjahjadi Kusumo-rahardjo, DDS 222 S Emerald St, Anaheim, CA 92804-2525 Ph: (949) 769-0495 |
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› Verified 3 days ago
Ms. Cynthia Bich Van Nguyen, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 927 N Euclid Street, Anaheim, CA 92801 Phone: 714-991-7140 Fax: 714-991-7141 | |
Jack Ringer, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 5765 E Santa Ana Canyon Rd Ste A, Anaheim, CA 92807 Phone: 714-974-0313 Fax: 714-974-3332 | |
Dr. Michael P Blum, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1211 W La Palma Ave, Suite 604, Anaheim, CA 92801 Phone: 714-772-2200 Fax: 714-520-0969 | |
Dr. Vicky Duong, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1602 N Lemon St, Anaheim, CA 92801 Phone: 714-525-5558 Fax: 714-525-8238 | |
Dr. Mike M Kang, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 2170 W Lincoln Ave, Anaheim, CA 92801 Phone: 424-343-9009 | |
Dr. Chia-lun Tsao, D.D.S Dentist Medicare: Not Enrolled in Medicare Practice Location: 10600 Katella Ave, Anaheim, CA 92804 Phone: 714-758-7777 | |
Dr. Rosetta J Vergel De Dios, DMD Dentist Medicare: Medicare Enrolled Practice Location: 1691 S Euclid St, Anaheim, CA 92802 Phone: 714-991-7572 Fax: 714-991-7756 |