Individual
DR. IRIANI SUTANTO-DANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7677 OAKPORT ST STE 300, OAKLAND, CA 94621-1933
(510) 383-1200
Mailing address
7677 OAKPORT ST STE 300, OAKLAND, CA 94621-1933
(510) 383-1200
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
G78054
CA
Other
Enumeration date
07/10/2007
Last updated
07/10/2007
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