Organization
DR. J L MADDATU DENTAL CORP.
Active
Parent organization
JONATHAN L. MADDATU DDS INC.
Other names
Jonathan L. Maddatu DDS
Organization subpart
Yes
Provider details
NPI number
Legal business name
JONATHAN L. MADDATU DDS INC.
Authorized official
DR. JONATHAN LORENZO MADDATU DDS (DENTIST/OWNER)
(818) 786-8803
Entity
Organization
Contact information
Practice address
44841 10TH ST W, NONE, LANCASTER, CA 93534-2311
(661) 948-1655
(661) 940-9636
Mailing address
44841 10TH ST W, NONE, LANCASTER, CA 93534-2311
(661) 948-1655
(661) 940-9636
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
55562
CA
Other
Enumeration date
08/20/2013
Last updated
08/20/2013
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