MURIJONO REKSOATMODJO, DDS

Dentist - General Practice

Active Individual
NPI: 1598811481

Practice Address

6230 GUSHEE ST
Felton, CA 95018

Phone: (831) 335-5324

Specialties

Specialty Code Primary License
Dentist - General Practice 1223G0001X Yes DDS 36825 (CA)

Frequently Asked Questions

NPI 1598811481 is the National Provider Identifier for MURIJONO REKSOATMODJO, DDS, a Dentist - General Practice provider located in Felton, CA. This NPI was enumerated on January 25, 2007.
MURIJONO REKSOATMODJO, DDS practices at 6230 GUSHEE ST, Felton, CA 95018.

Quick Facts

NPI
1598811481
Type
Individual
Enumerated
Jan 25, 2007
Last Updated
Jul 8, 2007

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