Winston Muditajaya, D.d.s., Inc.

NPI #1699895383 in Cerritos, California

Provider Information

NPI Number: 1699895383
Entity Type: Organization
Organization Name: Winston Muditajaya, D.d.s., Inc.
Primary Specialty: Dentist
Enumeration Date: Mar 29, 2007
Last Updated: Jun 16, 2008

Practice Location

Address: 17550 BLOOMFIELD AVE
Address 2: SUITE C
City: Cerritos
State: California
ZIP Code: 90703-8584
Phone: (562) 809-4464

Authorized Official

Name: DR. WINSTON MUDITAJAYA, DDS
Title: PRESIDENT
Phone: (562) 809-4464

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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