Mukundan, Madhav

Mukundan, Madhav is an individual health care provider with primary practice located at 1053 S Green Valley Rd , Watsonville CA 95076-4164. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Mukundan, Madhav can be contacted via phone (831) 515-3006.

Contact Information

Primary practice address
1053 S Green Valley Rd Watsonville CA 95076-4164
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 59239 California

Profile Details

NPI number 1619155587
LBN Legal business name Mukundan, Madhav
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 3rd, 2008
Last updated Jan 13th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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