Organization
HERMAWAN TJIOE DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HERMAWAN TJIOE DDS (PRESIDENT)
(661) 725-1111
Entity
Organization
Contact information
Practice address
1313 MAIN ST, DELANO, CA 93215-1766
(661) 725-1111
Mailing address
1313 MAIN ST, DELANO, CA 93215-1766
(661) 725-1111
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
39900
CA
Other
Enumeration date
05/16/2012
Last updated
05/16/2012
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