Dr. Adelheid Nerisa Limansubroto
Endodontist
1104 N Chinowth St
Visalia
, California 93291-4113
Dr. Adelheid Nerisa Limansubroto
Endodontist
1104 N Chinowth St
Visalia
, California 93291-4113
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About
Features
Specialties
- Endodontist
Languages spoken
- English
Location
First Address
- Dr. Adelheid Nerisa Limansubroto
- 2857 S Lovers Ln Apt E
- Visalia, CA
- Zip : 93292-3385
- Phone :
Second Address
- Dr. Adelheid Nerisa Limansubroto
- 1104 N Chinowth St
- Visalia, CA
- Zip : 93291-4113
- Phone : (559) 625-9043
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223E0200X | Endodontist | 104987 | CA |
National Provider Identifier
| NPI | 1134737836 |
|---|---|
| Provider Name | Dr. Adelheid Nerisa Limansubroto |
| First Address | Visalia, CA 93292-3385 |
| Second Address | Visalia, CA 93291-4113 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/07/2020 |
| Last Update Date | 19/07/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.