Montry S. Suprono, DDS
Prosthodontics · Loma Linda, CA
UnclaimedDDSNPI 1821249913
- Primary taxonomy
- 1223P0700X
- Enumerated
- 2008-10-07
- Practice location
- Loma Linda, CA
- Last NPPES update
- 2008-10-07
State licenses
- CA · Dentist · NPPES self-reportedListed on NPI record
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.