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Individual
FRANSISKUS ANDRIANTO TJIPTOWIDJOJO
Active
Individual
FRANSISKUS ANDRIANTO TJIPTOWIDJOJO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
019.032507
IL
1223P0700X
Prosthodontics
0401414234
VA
1223P0700X
Prosthodontics
2901021710
MI
1223P0700X
Prosthodontics
Primary
D11565
OR
Other
Enumeration date
01/11/2014
Last updated
07/04/2022
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