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Provider Profile

Enty Tionowidjaja, D.D.S.

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At a glance

About Dr. Tionowidjaja

Enty Tionowidjaja, D.D.S. is a general practice dentistry practicing in La Habra, CA. This provider record is associated with NPI 1659438133.

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

Specialty

Credentials & Licensing

CA · Dental LicenseDental Board of California
No. 37170DelinquentExpired Aug 31, 2023Since 1989
NPINational Provider Identifier
1659438133Issued 2007

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Common questions

What does Enty Tionowidjaja specialize in?

Enty Tionowidjaja is a dentist in La Habra, CA. That is the designation recorded for this NPI in the federal registry, where it is listed as “General Practice Dentistry”.

NPI registry

Where is Enty Tionowidjaja located?

Enty Tionowidjaja is listed at 721 W. Whittier Blvd. Suite 'E', La Habra, CA 90631. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

What is Enty Tionowidjaja's phone number?

The number on file is (562) 691-3688. Contact the office directly to confirm availability and scheduling.

NPI registry

What is the NPI for Enty Tionowidjaja?

Enty Tionowidjaja's National Provider Identifier is 1659438133. 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 Enty Tionowidjaja have?

Enty Tionowidjaja 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 Enty Tionowidjaja's profile verified?

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

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