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Organization
HARSONO DENTAL CORP
Active
Organization
HARSONO DENTAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MASLY HARSONO DMD, MS (OWNER)
(646) 338-7593
Entity
Organization
Contact information
Practice address
431 MONTEREY AVE STE 6, LOS GATOS, CA 95030-5319
(408) 354-1717
Mailing address
431 MONTEREY AVE STE 6, LOS GATOS, CA 95030-5319
(408) 354-1717
(408) 395-7664
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
64977
CA
Other
Enumeration date
10/14/2016
Last updated
12/14/2025
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