Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
WINSTON MUDITAJAYA, D.D.S., INC.
Active
Organization
WINSTON MUDITAJAYA, D.D.S., INC.
Active
Other names
Cerritos Towne Center Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WINSTON MUDITAJAYA DDS (PRESIDENT)
(562) 809-4464
Entity
Organization
Contact information
Practice address
17550 BLOOMFIELD AVE, SUITE C, CERRITOS, CA 90703-8584
(562) 809-4464
Mailing address
17550 BLOOMFIELD AVE, SUITE C, CERRITOS, CA 90703-8584
(562) 809-4464
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
44515
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
G9356501
—
CA
Enumeration date
03/29/2007
Last updated
06/16/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up