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Organization
HWANG AND MUDITAJAYA DENTAL CORPORATION
Active
Organization
HWANG AND MUDITAJAYA DENTAL CORPORATION
Active
Other names
Whittier Square Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WINSTON MUDITAJAYA D.D.S. (PRESIDENT)
(562) 696-2862
Entity
Organization
Contact information
Practice address
13215 E. PENN STREET, SUITE 200, WHITTIER, CA 90602
(562) 696-2862
Mailing address
13215 E. PENN STREET, SUITE 200, WHITTIER, CA 90602
(562) 696-2862
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
44515
CA
Other
Enumeration date
09/02/2011
Last updated
09/02/2011
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