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ENTY TIONOWIDJAJA D.D.S.
NPI 1659438133
Dentist - General Practice in La Habra, CA

Active since January 03, 2007
721 W. WHITTIER BLVD., SUITE 'E', LA HABRA, CA 90631(562) 691-3688 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Enty Tionowidjaja D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ENTY TIONOWIDJAJA D.D.S. (NPI 1659438133) is an individual general practice provider in La Habra, California, licensed in California (37170) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1659438133
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameENTY TIONOWIDJAJACredential: D.D.S.
Location Address721 W. WHITTIER BLVD., SUITE 'E'La Habra, CA 90631-3772
Mailing Address721 W. Whittier Blvd., Suite 'e'La Habra, CA 90631-3772 · (562) 691-3688
Phone(562) 691-3688
Sole ProprietorYes
Enumeration DateJanuary 3, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1659438133 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CA · 37170
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
721 W. WHITTIER BLVD., La Habra, CA 90631
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KWANG JE CHO DDS, INC.
Dentist (General Practice)
721 W. WHITTIER BLVD., SUITE A
LA HABRA, CA 90631
Orange County (562) 697-3008

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Enty Tionowidjaja's NPI number?

The NPI number for Enty Tionowidjaja is 1659438133. It was assigned to this individual provider in the NPPES registry on January 3, 2007.

Where is Enty Tionowidjaja located?

Enty Tionowidjaja practices at 721 W. Whittier Blvd. Suite 'e', La Habra, CA 90631. The listed phone number is (562) 691-3688.

What is Enty Tionowidjaja's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Enty Tionowidjaja was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.