| NPI | 1790118222 |
|---|---|
| Other Name | JONATHAN L. MADDATU DDS |
| Entity Type | Organization |
| Authorized Contact | JONATHAN LORENZO MADDATU Dentist/Owner 818-786-8803 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 55562) |
| Enumeration Date | 2013-08-20 |
| Last Update Date | 2013-08-20 |