Muditajaya Dental Corporation
NPI #1942381066 in Pico Rivera, California
Provider Information
- NPI Number
- 1942381066
- Entity Type
- Organization
- Organization Name
- Muditajaya Dental Corporation
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Oct 17, 2006
- Last Updated
- Mar 9, 2010
Practice Location
- Address
- 9123 SLAUSON AVE
- City
- Pico Rivera
- State
- California
- ZIP Code
- 90660-4522
- Phone
- (562) 949-0177
Authorized Official
- Name
- DR. DANNY MUDITAJAYA, DDS
- Title
- CEO
- Phone
- (562) 949-0177
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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