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Individual

DR. ANDRIANI ONGKORAHARDJO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
660 N DIAMOND BAR BLVD STE 288, DIAMOND BAR, CA 91765-1070
(909) 396-0107
(909) 396-0094
Mailing address
660 N DIAMOND BAR BLVD STE 288, DIAMOND BAR, CA 91765-1070
(909) 396-0107
(909) 396-0094

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
46120
CA

Other

Enumeration date
02/20/2007
Last updated
12/03/2024
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