DR. WIJAYA SULAEMAN, D.D.S., M.A.G.D.

Dentist - General Practice

Active Individual
NPI: 1932101706

Practice Address

25054 BASE LINE ST
San Bernardino, CA 92410

Phone: (909) 889-9591

Specialties

Specialty Code Primary License
Dentist - General Practice 1223G0001X Yes 37166 (CA)

Frequently Asked Questions

NPI 1932101706 is the National Provider Identifier for DR. WIJAYA SULAEMAN, D.D.S., M.A.G.D., a Dentist - General Practice provider located in San Bernardino, CA. This NPI was enumerated on August 11, 2005.
DR. WIJAYA SULAEMAN, D.D.S., M.A.G.D. practices at 25054 BASE LINE ST, San Bernardino, CA 92410.

Quick Facts

NPI
1932101706
Type
Individual
Enumerated
Aug 11, 2005
Last Updated
Jul 8, 2007

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