Individual
PANKTI MADALIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
16011 BUTTERFIELD RANCH RD, APT 226, CHINO HILLS, CA 91709-7455
(908) 400-8460
Mailing address
16011 BUTTERFIELD RANCH RD, APT 226, CHINO HILLS, CA 91709-7455
(908) 400-8460
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
30686
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30686
—
CA
Enumeration date
12/30/2016
Last updated
12/30/2016
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