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Organization

TADHAMALOO DENTAL CORPORATION

Active
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Organization

TADHAMALOO DENTAL CORPORATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. HUZAIFA HATIMALI MALOO DDS (PARTNER)
(951) 369-3344
Entity
Organization

Contact information

Practice address
5696 MISSION BLVD, 5696 MISSION BLVD, RIVERSIDE, CA 92509-4404
(951) 369-3344
(951) 369-4041
Mailing address
5696 MISSION BLVD, 5696 MISSION BLVD, RIVERSIDE, CA 92509-4404
(951) 369-3344
(951) 369-4041

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
49372
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1871661652
NATIONAL PROVIDER IDENTIFIER
CA
01
—
1891801825
NATIONAL PROVIDER IDENTIFIER
CA
Enumeration date
06/23/2008
Last updated
06/23/2008
About Stedi
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