Cerritos Towne Center Dentistry

LBN: Winston Muditajaya, D.D.S., Inc.
Cerritos Towne Center Dentistry is an health care organization with primary practice located at 17550 Bloomfield Ave Suite C, Cerritos CA 90703-8584. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Winston Muditajaya, D.D.S., Inc. can be contacted via phone (562) 809-4464, or through Muditajaya, Winston via phone (562) 809-4464.

Contact Information

Primary practice address
17550 Bloomfield Ave Suite C Cerritos CA 90703-8584
Phone: (562) 809-4464
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Muditajaya, Winston Doctor of Dental Surgery (DDS)
Phone: (562) 809-4464

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 44515 California

Profile Details

NPI number 1699895383
LBN Legal business name Winston Muditajaya, D.D.S., Inc.
DBA Doing business as Cerritos Towne Center Dentistry
Authorized official Muditajaya, Winston Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 29th, 2007
Last updated Jun 16th, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699895383 NPPES
California MEDICAID G9356501

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