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Provider Profile

Andre Widodo, DDS

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Where to find Andre Widodo, DDS

About Dr. Widodo

Andre Widodo, DDS is a general practice dentistry practicing in Pomona, CA. This provider record is associated with NPI 1508901257.

Factual summary compiled by Guide.md from public records; not written by this provider.

Specialty

Credentials & Licensing

CA · Dental LicenseDental Board of California
No. 46152CurrentExpires Sep 2027Since 1999
NPINational Provider Identifier
1508901257Issued 2007

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Common questions

What kind of doctor is Dr. Widodo?

Dr. Widodo is a dentist in Pomona, CA. That is the designation recorded for this NPI in the federal registry, where it is listed as “General Practice Dentistry”.

NPI registry

What is Dr. Widodo's address?

Dr. Widodo is listed at 2112 S Garey Ave Ste A, Pomona, CA 91766. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

How can I make an appointment with Dr. Widodo?

The number on file is (909) 590-5600. Contact the office directly to confirm availability and scheduling.

NPI registry

What is the NPI for Dr. Widodo?

Dr. Widodo's National Provider Identifier is 1508901257. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

How much experience does Dr. Widodo have?

Dr. Widodo has 19+ years experience. Registered with an NPI since 2007. National Provider Identifiers only began in 2005, so a provider who qualified earlier may have practiced for longer than this.

NPI registry

Is Dr. Widodo's profile verified?

Not yet. This profile is built from public federal data and has not been confirmed by Dr. Widodo. If this is you, claiming it is free.

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