Murijono Reksoatmodjo, DDS
General Practice Dentistry · Felton, CA
Practice location
6230 Gushee StFelton, CA 95018-9129
- Phone
- (831) 335-5324
- Fax
- (831) 335-5928
NPI record
- NPI
- 1598811481
- Entity type
- Individual (Type 1)
- Enumeration date
- January 25, 2007
- Last updated
- July 8, 2007
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Dentistry Primary | 1223G0001X |
DDS 36825 | CA |
About Dr. Reksoatmodjo
Murijono Reksoatmodjo, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 6230 Gushee St, Felton, CA 95018-9129. The NPI number 1598811481 was assigned on January 25, 2007 and the record was last updated on July 8, 2007.
Dr. Reksoatmodjo lists a license in the registry: #DDS 36825 (CA) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Murijono Reksoatmodjo, DDS?
The NPI number is 1598811481.
What is the phone number of Dr. Reksoatmodjo?
The phone number listed for the practice location is (831) 335-5324.
Where is Dr. Reksoatmodjo located?
6230 Gushee St, Felton, CA 95018-9129.
What is the taxonomy code for Dr. Reksoatmodjo?
The primary taxonomy code is 1223G0001X – General Practice Dentistry.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
Other General Practice Dentistry providers in Felton
- Grace Marie Montero, DDS6940 Highway 9
- Samantha Blenderman, DDS6940 Highway 9