ANDY KUSUMO DDS INC
Organization (NPI-2)
Active
Dentist, General Practice
Provider Information
- NPI Number
1255721254- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 501 N BROOKHURST ST STE 100, ANAHEIM, CA, 928015202
- Phone
- (657) 201-3084
Specialties & Taxonomies
Dentist, General Practice
Primary License: CA #49917