Winston Muditajaya Dental Corporation
NPI #1356706022 in Pico Rivera, California
Provider Information
- NPI Number
- 1356706022
- Entity Type
- Organization
- Organization Name
- Winston Muditajaya Dental Corporation
- Primary Specialty
- Dentist
- Enumeration Date
- Dec 23, 2015
- Last Updated
- Dec 23, 2015
Practice Location
- Address
- 9123 SLAUSON AVE
- City
- Pico Rivera
- State
- California
- ZIP Code
- 90660-4522
- Phone
- (562) 949-0177
Authorized Official
- Name
- DR. WINSTON MUDITAJAYA, D.D.S.
- Title
- PRESIDENT
- Phone
- (562) 949-0177
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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