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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JONATHAN L MADDATU DDS INC

Active Organization

JONATHAN L MADDATU DDS INC is a General Dentistry organization located in VAN NUYS, California. NPI 1265696173 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · VAN NUYS, CA

Registration Details

NPI Number
1265696173
Provider Type
Organization
NPI Issued
Jul 10, 2008 (18.112946779233 yrs)
Last Updated
Oct 22, 2009
License
55562 (CA)

Practice Information

Address
6736 N. SEPULVEDA BLVD
VAN NUYS, CA, 914113306
Browse CA providers · Browse ZIP 91411
Phone
8187868803
Fax
8187868570
Primary Specialty
General Dentistry
1223G0001X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.