Individual
DR. DANNY MUDITAJAYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
9123 SLAUSON AVE, PICO RIVERA, CA 90660-4522
(562) 949-0177
(562) 949-4776
Mailing address
9123 SLAUSON AVE, PICO RIVERA, CA 90660-4522
(562) 949-0177
(562) 949-4776
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30419
CA
Other
Enumeration date
03/29/2007
Last updated
03/09/2010
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