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Organization
REMONA DENTAL CENTER INC.
Active
Organization
REMONA DENTAL CENTER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HADI S KUSUMO DDS (CEO)
(909) 625-3600
Entity
Organization
Contact information
Practice address
324 S INDIAN HILL BLVD, CLAREMONT, CA 91711-5289
(909) 625-3600
Mailing address
324 S INDIAN HILL BLVD, CLAREMONT, CA 91711-5289
(909) 625-3600
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/12/2018
Last updated
04/12/2018
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