Dr. J L Maddatu Dental Corp.

NPI #1790118222 in Lancaster, California

Provider Information

NPI Number: 1790118222
Entity Type: Organization
Organization Name: Dr. J L Maddatu Dental Corp.
Subpart: Yes (part of a larger organization)
Parent Organization: JONATHAN L. MADDATU DDS INC.
Primary Specialty: Dentist
Enumeration Date: Aug 20, 2013
Last Updated: Aug 20, 2013

Practice Location

Address: 44841 10TH ST W
Address 2: NONE
City: Lancaster
State: California
ZIP Code: 93534-2311
Phone: (661) 948-1655

Authorized Official

Name: DR. JONATHAN LORENZO MADDATU, DDS
Title: DENTIST/OWNER
Phone: (818) 786-8803

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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