Jonathan L Maddatu DDS INC
NPI #1265696173 in Van Nuys, California
Provider Information
- NPI Number
- 1265696173
- Entity Type
- Organization
- Organization Name
- Jonathan L Maddatu DDS INC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jul 10, 2008
- Last Updated
- Oct 22, 2009
Practice Location
- Address
- 6736 N. SEPULVEDA BLVD
- City
- Van Nuys
- State
- California
- ZIP Code
- 91411-3306
- Phone
- (818) 786-8803
Authorized Official
- Name
- DR. JONATHAN LORENZO MADDATU, DDS
- Title
- DENTIST
- Phone
- (818) 786-8803
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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