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Organization
H. HADIDJAJA, DDS INC.
Active
Organization
H. HADIDJAJA, DDS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HAMI HADIDJAJA D.D.S. (PRESIDENT)
(323) 588-0001
Entity
Organization
Contact information
Practice address
3122 E FLORENCE AVE, HUNTINGTON PARK, CA 90255-5830
(323) 588-0001
(999) 999-9999
Mailing address
3122 E FLORENCE AVE, HUNTINGTON PARK, CA 90255-5830
(323) 588-0001
(999) 999-9999
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
41834
CA
Other
Enumeration date
10/01/2014
Last updated
10/01/2014
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