PETER SUMARSONO PROFESSIONAL DENTAL CORPORATION

Preferred Provider Organization

Active Organization
NPI: 1033596788

Practice Address

9110 ADAMS AVENUE
Huntington Beach, CA 92646

Phone: (714) 968-4487

Specialties

Specialty Code Primary License
Preferred Provider Organization 305R00000X Yes 40736 (CA)

Frequently Asked Questions

NPI 1033596788 is the National Provider Identifier for PETER SUMARSONO PROFESSIONAL DENTAL CORPORATION, a Preferred Provider Organization provider located in Huntington Beach, CA. This NPI was enumerated on May 1, 2015.

Quick Facts

NPI
1033596788
Type
Organization
Enumerated
May 1, 2015
Last Updated
May 1, 2015

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