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NAMA, NIP & hJIr}N

ffiffiSf:rq FKG UNAIR Th.201Z I

l{o. NAMA NIP Wffifd PANGKAT GOL.


1 ACHMAD HAR|JADl,drg.,MS.,Sp. BM 19521 1301978021001 ooffils2os Pembina 4la
z ACHMAD SJAFEl,drg.,MS.,Sp,Ort.(K) 1VCZuE? t187E021 001 0027085203 Pembina Tk.l 4tb
3 ACHMAD SUDlRMAN,drg.,MS,, SpKG(K) 1 95 1 08251 97901 1 001 dffi065'T6t Penata Tk.l 3/d
4 ADI HAPSORO,drg.,MS,
) 5 ADI SUBlANTO,drg.,M$.,Sppros(K)
1961 121 31 978031 002 001 31 251 03 Pembina 4la
1 9b405()5 1 98003 1 009 0005055409 Penata 3/c
6 ADIASTUTI HNDAH p,,drg.,M,Kes.; SppM 1959051 71984032001 001 7055903 Penata Tk.l 3td
7 AGUNG KRISMARIONO,dTg ,M Kes ;SFFenc (t0 il
1 96803071 99601 1 001 0007036801 Pembina 4la
8 AGUS DAHLAN,drg.,SpPros. 1UHUOU14198701 1001 00'14086003 Penata Tk.l 3/d
I AGUS SUB|WAHJUDl,drg.,M$,,SpKG(K) 1eb4u8131981031005 001 3085401 Pembina 4la
10 ALlDA,drg, 1e6u1 1022009122003 Penata Muda Tk.l 3/b
11 ANANG SOEJONO,drg,,Sp.Ort,(K) 19h20317197802100.1 001 7035202 Pembina 4/a
12 ANANTA TANTRT BUD|,drg ,M.Kes, SpXffi lTbz1ozTl eBffilobl 0021'105206 Pembina Utama Muda 4lc
13 CNDRA RIZQIAWAN,dTg l uu't uez3200501 1001 0023098'101 Penata Muda Tk.l 3/b
14 ANIS lRMAWAT|,drg. JvlXes, 197 40527 1 999032002 4027057401 Penata Tk.l 3/d
15 AN'NISAA CHUSIDA, drg.,M.Kes 96Lj 1 2051 99601 2001
1 00051 26904 Penata Tk,l 3td
16 {QSA SJUHADA OKl,drg.,M. Kes 1eoe1uu3199601 1001 00031 06903 Penata 3/c
17 ARDIANTI MMRTRINA DEW|,drg SpKGA 1 98303 1 4201 01 22006 CPNS 3/b
18 ARI SUBIYANTO,drg,,M,Kes., SEKqtg 9570 1 07 1 983031 003
1 uuu/01 5707 Pembina 4la
19 ARI TRIWARDHANt,drg,,M,SC.
h 196202021 987032001 0002026210 Penata
^SpOrtlK) 3/c
20 ASTI ME|ZARlNl,drg,,MS 95905051 984032001
1 00050559 1 0 Pemblna Utama Muda 4lc
21 BAGUS SOEBADI,drg, MHpEd , Sp.pNA 1e5.i1',1121979011001 001 4 1 05303 Pembina 4la
22 BAMBANG AcUSTONO SATI\4OKO TUt/ALt drs I/] G 1 96308271 989031 002 0027086304 Penata 3/c
23 1 95305231 98 1 031 003 0023055306 Penata 3/c I

24 BAMBANG SUMARJONO,drs.,MXes i
1957 1221 1 985031 001 0021125703 Penata 3ic I

25 BAMBANG SURJANTO drg. MS,--__---_-_-- 1 30675686 0020025003 Pembina Tk,l 4tb


26 @ 1 98206052008121002 CPNS 3/b
27 CECILIA G.JUL|ANt r-.,0r9.,[a$" SbKqt ) 9530404 1 978022001
1 0004045307 Pembina Tk,l 4tb
28 CHRISTIAN KHOSWANTO, di.g JMXes, 1975041 51999031002 001 5047501 Penate Tk,l 3/d
N*. NAMA NIP hJiilhi PANGKAT GOr-.

2S DAVID B KAMADJAJA, drg,,MDS Sp.BM 1 96502 1 21 991 031 003 00'12026504 Pembina 4la

30 DENY SAPUTRA drg., M,Kes 0006038103 Penata Muda Tk.l 3/b


1 98 1 0306200604
002 1

31 DESIANA RADlTHlA,drg,,SpPM 1977 1207200501 2001 0007127701 Penata Muda Tk.l 3/b
.).) Penata Muda Tk.l 3/b
DEVI EKA YUNlARTl,drg.,SpKG 1 979083020050 1 200 1 0030067901
33 DEVI RlANTl, drg,,M.Kes '1963090/1990022001 0007096308 Pembina Tk.l 4tb

34 DIANA NURWATl,drg,,MS. 1 9480805 1 976032002 0005084803 Penata Tk,l 3/d

35 DIDIK HADI MULYANA,drg, 1 95701 281 983031 003 00280'15706 Penata 3/c
$i1
36 DlNlSEryOWATl,drg ,MPH 1 9841 208200801 2004 Penata Muda Tk.l 3ib

37 DJODI ASMARA,drg.,SU.,Sp BM 19530714197901 1 001 00 1 4075304 Pembina 4la


38 Dr, INDAH LISTIANA K,,drg ,Vl Kes 1 9631 0301 989022001 00301 06303 Pembina 4la lr

39 DT.A.RETNO PUDJI RAHAYU,dTg M,Kes 19591 1 '141986032002 00141 1 5906 Pembina 4la
40 DT.AGUNG SOS|AWAN,drg.,M. Kes, 197 1121 1 20081 21 003 Penata 3/c
04rfi7110
41 DT.BAMBANG SUNARKO,drg,MS., Sp.KG(K) 1 95408291 980031 002 0029085404 Pembina 4la
42 DT.CHIQUITA PRAHASANTI S,,drg., Sp Perio (K) 1 95809091 985032001 000s0s5807 Pembina Tk,l 4tb
43 Dr,D|AN AGUSTIN W.,drg,,SpKG 1 S7 1 0820 1 99803200 1 00200t17102 Penata 3/c
44 DT,EHA RENW|ASTUT|,drg.M,Kes , SpRKG (K) 1 3 1 760370 001 30561 02 Pembina 4/a

45 DT,ELLY MUNADZlROH,drg,,MS. 1 96 1 08091 98701 2001 00090801 02 Pembina 4la


46 DT,ERNIE MADURATNA S. drg. M Kes SpPerio (K) 1968021219S?-032001 0012026603 Pembina 4la
47 Dr.l GUSTIAJU WAHJU ARDAN|,drg. M Kes Sp.Ort. 1 96308061 989022001 0006086301 Penata 3ic
48 Dr,lDA BAGUS NARMADA,drg,,Sp Ort (K) 1 95601 071 981 031 003 00070'15603 Pembina 4la
49 Dr.lRA ARUNDINA, drg.,M,Si 1 971 1 028'1 997022002 0028107102 Penata 3/c

50 Dr. IWAN HERNAWAN,drg,,MS., SpPM 1953061 1 1980021002 001 1065306 Pembina 4la
51 DT.PRATIWI SOESILAWATI, drg,,M.Kes, 19691 '1221996012001 0022 11 6903 Penata Tk.l 3id

52 DT,R,DARMAWAN SETlJANTO,drg., M.Kes '196110051988031003 00051 061 09 Pembina Tk,l 4tb

DT.RETNO INDRAWATI R.,drg,,M,Si. 19591 1 121987012001 00121 '15S03 Pembina 4le

54 DT,SHERMAN SALlM,drg.,MS.,Sp Pros.(K) 15520526197 8031 002 0026055203 Pembina 4la


55 DT.THERESIA INDAH BUDHY S.,drg,, M Kes 1 96 1 0607 1 987032005 00070661 04 Pembina 4la
56 Dr,TlTlEK BERNlJANT|,drg.,M,Kes 1 9581 0201 989022001 00201 05802 Penata Tk.l 3/d

57 EDHI JULARSO,drg.,MS, 19560729198103'1004 0029075603 Penata 3lc


58 EDHIE ARIEF PRASEWO,drg., M.Kes,Sp.KG(K) 1 9550406 1 98 1 031 004 0006045505 Pembina Tk.l 4tb

59 EHA DJULAEHA,drg,,MS,, Sp. Prosr(K) 19530722197 8022001 0022075302 Pembina Tk.l 4tb

00 EKA FITRIA AUGUSTlNA,drg,,SpPerio, 1 977080 1 200501 200 1 0001 087703 Penata Muda Tk,l 3/b

61 ELLY RUSD|ANA,drg,,MKes. 1 95806091 98601 2001 0009065804 F'enata Tk.l 3/d


No" NAMA NIP fui i {,l h,$
PANGKAT tr0t,
ot fCEN'AAffi B FFAr\r[M'Irs ;frS jip rGA(n 1 9530403 I 97803200 1 0003045304 remDtna lK.l
63 vA I I,Arg,,MU. 4tb
tg47 to1e1976092062 uut v't u4 /(J1
64 Pembina 4la
lJDUAn rAt\ I t,org,,lvl,Kes.
1 9591 21 41 9S6012001 UUI 41ZbUU2
65 Penata Tk.l 3/d
15480107 1e74122i64 00070'14801
oo Pembina Utama Muda 4lc
rJAt\ tu,org,,tvl.Kgs
1 95705051 98303i005 UUUCUbb /OE
67 Pembina 4la
Lr rur \^uAt\/,\,ut g. I tvlD, r 5p, E M.
1 04709031 97605{003 u003094702
68 Pembina Tk.t 4tb
Lrr I il\n rA I I,UIg,lvl,n€ig.
'1960041819870i2002
UUl UU46OO6 Pemblne
69 4la
198101 142006041003 001401 81 03
70 F/enatg 3/c
,, Y vL^rr vviltv I v,alg,,)pun. 1974072120064t2001 0021077405 Penata Muda Tk,l 3/b
71

72 :-iiE'iffi
I \nvr ilvln I ,urg.,lvlo,
19520201198rore Penate 3lc
1951 12?91 578621002 402s125103 Henata tk.t
72. 3/d
rrurV.,opnL, 1 97902052004J04200 0005027909 renala Muda Tk.l
@EpIc.-*
1
74 3/b

75
- vr rv YvLttill{\J,u{g
1 971 06261 999031 00 1 00260671 04 Penste 3lc
198608182010121006
76 ffi GPNS 3/b
7a HANoEM EKn HlDAJAffirs
v
j\4tffi;6
1 948 1 2091 97802 1 00 t- 00091 24802 Pembina qta
1 954 1 1 02 1 9S002200 i uuul t 1 04u4 Pombina
78 I r^r\L r rr\ADUVVtl, org.,M,UC.,phD,,Sp pros, 4la
'196207281992031001
uu26026201 Penata
79 3lc
,ePr tus, 1S60121s1es-701lm 001 I 1 26009 Penata l-k.l 3/d
80
19500123197803100i uuz301 5002
B1
Penata 3lc
157206101 999031 002 uul u067204
82 Penata 3lc
,ury,rtvtg,r \)p 9531 0231 880032002
1
0023105302 rem0tna 4la
83 v,,rvro.,ap. n(,A(K) '195108051 978022001
u0050851 02 Pembina Utama Mirda 4lc
84 u,org.,uu., Sp tsM. 1 95 1 0823 1 97803 1 002 uuz30E51 02
85 Pembina Tk.t 4tb
ilvrArvr E'utrutuNQ,0rg.,M, Kes.,sppros.(K)
vclultbtu/6031003 0016025202 Penata Tk.l
B6 3td
voluJ't 5t 9d /012001 0015036204 Penata
87 3/c
Yc/u4JUl9/ /032001 0030045702 Pembina Tk.l
B8 4tb
voruc r4tuuuu32002 0014056304
89 - rvlv I I 1bzuobu12001
Pembina Tk l 4tb
001 61 1 7903 Penata Muda
VU 3la
195107291 578022001 00290751 01
91 t'rnotna ulamS MUdA 4lc
9500708 1 97802 1 00 1
92
1
0008075002 Penata Tk.l m
e5007091 e78031 od'T
93
1

195411261 97901 1 001


0009075003 Pembina Tk.l m
uuz61 15405 Pembina Tk.l 4tb
94
19530s21 1578022061 002 1 05s306 Pembina Utama MriG 4lc
No" NAfuIA NIP stlnf!,! PANGKAT ffiCI1,
oq KETUT SUARDlTA,drg,Ph,D,,Sp,KG 19681 1261993031002 00261 1 6803 Pembina 4la
96 KUN lSMlYATlN,drg,,M. Kes,,Sp,KG(K) 1 9600402 1 98601 200 1 0002046001 Pembina Tk,l 4lb
97 KUS HARIJANTI, drg,,M.Kes",Sp,PM 1 95208 1 4 1 98 503200 1 00 1 4085205 Pembina Tk.l 4tb
98 LAKSMIARI SETYOWAT|,drg,,MS,, Sp, KG(K) 1 960032 5 1 e8801 200 1 0025036005 Penata Tk.l 3/d
99 LAMBANG BARGOWO,drg.,SpPerio. 1 980050 1 200604 1 002 0001 058008 Penata Muda Tk.l 3/b
100 LYDIA MARTINA 8.,drg.,MS. 1 952032 3 1 97901 200 1 0023035202 Penata Tk.l 3/d
'101 MARETANINGTIAS DWI ARlANl,drg, M Kes 1980031 72005012001 001 7038004 Ponata Muda 3la
102 MARKUS BUDI RAHARDJO,drg.,tul.Kes 1 954051 01 981 031 01 0 001 0055404 Pembina Tk.l 4tb
103 MEFINA KUNTJORO,drg,,SpPros. '1
97909292006042002 0029097905 Penata Muda Tk.l 3/b
t. "'
104 MEGA MOEHARYONO PUTERI drg.,Sp KGA '198305012006042002 0001058301 Penata Muda Tk"l 3/b
105 MIA LAKSMI LITA ROSA,drg, M,Kes. 1 9601 0031 98701 2001 00031 0601 2 Penata Muda Tk.l 3/b
106 MICHAEL JOSEF KRIDANTO K.,drg,,M.Kes. Sp Pros (K) 19630531 1989021001 0031 056301 Penata Tk.l 3td
107 MINTARSIH DJAMHARI K.,drg,,MS , Sp.PM 1 950083 11 97603200 1 0031 085002 Pembina Utama Muda 4lc
108 MOCH,MUDJlONO,drg.,MS,, Sp.KG(K) 1 95401 201 980021 001 002001 5403 Pembina 4la
10s MOHAMAD TUKMAN BAHAR,drg., M.Kes. 1 059082S 1 98601 1 00 1 0029085905 Penata 3lc
110 VIOHAMAD ROEL|ANTO,drg,MS., Sp KCi(K) 1 954081 01 980021 001 001 0085407 Pemblna Utama Muda 4lc
111 MUHAMMAD JUSR|,drg ,MS. Sp PM 19491 1021978021002 0002 1 1 4e06 Pembina 4la
112 MUHAMMAD LUTHFI, drg.,M.Kes. '19670306199601 1001 0006036704 Penata Tk.l 3/d
113 NANIK ZUBAlDAH,drg.,M.Kes., SpKG(K) 1 9581 207 1 988032001 00071 25804 Pembina Tk.l 4tb
114 Nl PUTU MIRA SUMARTA,drg.,Sp BM '1 9780329200501 2001 0029037807 Penata Muda 3la
115 NIKE HENDR|JANT|Nl,drg.,M.Kes,, Sp Pros.(K) 1 9591 0061 98601 2001 00061 05908 Penata Tk.l 3/d
116 NINUK HAR|YANl,drg,,MPH 1 97905072006042001 0007057906 P enata 3lc
117 NIRAWATI PRlBADl,drg.,M, Kes., SpKc(K) 1963091 51990022001 001 5096305 Penata Tk.l 3/d
a 118 NOER ULFAH,drg.,Sp.Perio. (K) 1 9601 01 01 987022001 001 01 06006 Penata 3/c
119 NURINA FEBRIYANTI AYUNINGTYAS,dTg M.Kes 1986021 52005122002 CPNg 3/b
120 )KTl SETYOWATI drg.,M, Kes. 1 9591 01 8 1 98601 2001 0018105905 Ponata Tk.l 3id
121 )Try RATNA WAHJUNl,drg ,M Kes 1 S59 1 023 1 98601 200 1 00231 05905 Pembine 4la
122 PAMBUDI RAHARDJO drg.,MS.,Sp,Ort(K) 1 94 70908 1 97603 1 00 1 0008094702 Pembina Tk.l 4tb
123 POERNOMO AGOES W ,drg ,MS Sp.Perio (K) 1 95208281 980021 001 0028085203 Pembina Tk.l 4tb
124 PRAMONO RAGOWO D.,drg MS Sp Pros(K) 1 94905041 9771 01 001 0004054903 Pembina 4la
125 PRAWATI NURAlNl,drg M Kes.,SpKGA(K) 1 96307091 987412001 0009076307 Pembina 4la
126 PRIYAWAN RACHMADl,drg., Ph.D 1 960041 8 1 985021 001 001 8046009 Penata Tk.l 3/d
127 PRIYO HADl,drg.,MS.,Sp.PM 1954A21 1 1980031002 001 1025404 Pembina Tk.l 4tb
f{m, NAMA NIP f{[ffif$ PANGKAT G0r,
128 Prof, Dr,DlAH SAVITRI ERNAWAT|,drg., M Si.,Sp.PM 1 9{:J004i' e 1 98503200 1 0029046007 Pembina Tk,l 4tb
129 Prof DT,ADIORO SOETOJO,drg.,MS., Sp KG(K) 10510u r01978021002 001 00851 02 Pemblna Utama Muda 4lc
13C) Prof. Dr.AN lTA YULlATl,drg,, M. Kes 1 9680709 1 98503200 1 0009075803 Pembina Utama Muda 4lc
131 Prof.Dr. lSTlATl,drg,,SU. 1 95005116 1 578022001 0026055001 Pembina Utama Madya 4td
t5l Prof. DT.JENNY SUNARIAN I,drg., MS. 1 953020 7 1 98 1 03200 1 0002075304 Pemblna Tk,l 4tb
133 Prof.Dr LATIEF MOODUTO,dTg MS. Sp.KG(K) 19520007197803'1001 0007095203 Pembina Utama Muda 4lc
134 Prof,Dr,M.RUBIANTO,drg ,MS , Sp,Perio (K) 1 0500908 1 97802 1 00 1 0008095003 Pembine Utama 4le
135 PTof,DT.MANDOJO RUKMO,drg M Sc Sp KG(K) 1 950061 71978021002 001 7065002 Pembina Utama Madya 4td
rlih o
136 Prof.Dr.MlEKE SYLVIA M.A, R.,drg. MS.,Sp Ort(K) 195103151978022001 001 50351 03 Pembina Utama Madya 4td l:tl

137 Prof, Dr, PETER AGUS,drg.Sp. BM(K) 1 95508071 980021 001 0007085505 Pembina Utama Muda 4lc
138 Prof.Dr.RUSLAN EFFENDY,drg.,MS., SpKG(K) 194904201976121001 0020044s04 Pembina Utama Madya 4td
139 Prof.Dr,SRl KUNARTl,drg.,MS., SpKG(K) 1952032819790'12001 0028035204 Pembina Tk.l 4tb
140 Prof.R.M,COEN PRAMONO D.,drg,,SU., Sp BM(K) 15540210197001 1001 001 0025405 Pembina Utama Madya 4td
141 Prof,SENO PRADOPO,drg.,SU,, Ph. D.,Sp, KGA(K) 19520716'1 978031002 0016075204 Pembina Tk,l 4la
142 R, M. YOG|ARTONO,drg.,M.Kes. 1 S560203 1 984031 004 0003025605 Penata Tk.l 3/d
143 R,A,HARUMI RATNA SlTA,drg, SU. 1 9490125'1978032001 0025014902 Penata 3/c
144 R,ARIES MUHARRAM,dTg.,SpBM '19690405199601 1001 0005046902 Penata Muda Tk,l 3/b
145 R. HELAL SOEKARTONO,dTg,,M, Kes 19571221 1 984031 002 0021125704 Pembina 4la
146 R,P.BAMBANG NOERJANTO,dTg , MS.,SpRKG (K) 1 95006 1 21978021001 001 2065004 Penata Tk.l 3/d
147 R,SOESANTO,drg.,Sp. BM(K) 195504291 98'1031002 0029045502 Penata Tk.l 3/d
148 RETNO PALUPl,drg.,M.Kes. 197 410262005012042 002il47404 Penata Muda 3la
149 RINDA MAHALlST|YANl,drg. 1954A9201 98701 200 1 0020095401 Penata 3lc
150 RlNl DEVIJANTI RlDWAN,drg.,M.Kes 196412161990022001 0016't26404 Pembina 4la
Ar*-,.' .f
15'1 ROBERTO MANAHAN Y.S,,drg.,MS,, Sp.BM 1 953081 41 980021 001 001 4085303 Pembina Tk,l 4tb \r.
152 ROESANTO HEROESOEBEKTI,dTg,,SU. 195202151 978021 001 001 9025202 Ponata Tk,l 3/d
153 ROSTI NY,drg,,M,Kes,,Sp, Pros, (K) 1 95409201 980022001 0020095402 Pembina Tk,l 4tb
154 RT,DWIYANTI FERIANA R.,drg., M.Kes 196202261 9881 02001 0026026204 Penata 3/c
155 SATITI KUNTARl,drg,,MS.,Sp.KGA(K) 195507181980022001 00'18075504 Pembina 4la
156 SETYABUDl,drg.,SpKG 197207121 999031 001 0012077202 Penata Muda Tk,l 3/b
157 SHAFIRA KURNIA S.,drg.,SpPerio, (K) '1976101 72005012002 0017'107608 Penata Muda Tk,l 3/b

158 SIAN IWATI GOENHARTO,dTg.,MS 191:i11212198601 200 1 oo12126107 Pembina Tk.l 4tb
159 S I DARN I NGSI H,drg.,M. Kes 1 9600409 1 9860 1 200 1 0009046008 Penata 3lc
160 SINDY CORNELIA N ,drg, Sp.KGA(K) 197 4042320050 1 200 1 0CI23047402 Penata 3/c