Individual
DR. ERIC BUDIMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
11816 GARVEY AVE, EL MONTE, CA 91732-3312
(626) 780-4932
Mailing address
11816 GARVEY AVE, EL MONTE, CA 91732-3312
(626) 780-4932
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
61985
CA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
DE60541145
WA
Other
Enumeration date
03/17/2015
Last updated
03/31/2022
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