Winston Muditajaya, DDS

General Practice Dentistry · Pico Rivera, CA

Individual Active NPI

NPI number 1366469017

Practice location

9123 Slauson Ave
Pico Rivera, CA 90660-4522
Phone
(562) 949-0177
Fax
(562) 949-4776

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NPI record

NPI
1366469017
Entity type
Individual (Type 1)
Enumeration date
July 17, 2006
Last updated
August 5, 2011
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 44515 CA

About Dr. Muditajaya

Winston Muditajaya, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 9123 Slauson Ave, Pico Rivera, CA 90660-4522. The NPI number 1366469017 was assigned on July 17, 2006 and the record was last updated on August 5, 2011.

Dr. Muditajaya lists a license in the registry: #44515 (CA) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Winston Muditajaya, DDS?

The NPI number is 1366469017.

What is the phone number of Dr. Muditajaya?

The phone number listed for the practice location is (562) 949-0177.

Where is Dr. Muditajaya located?

9123 Slauson Ave, Pico Rivera, CA 90660-4522.

What is the taxonomy code for Dr. Muditajaya?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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