NPI | 1962893115 |
---|---|
Doing Business As | TITUS DENTAL OFFICE |
Entity Type | Organization |
Authorized Contact | JONATHAN L MADDATU Dentist/ Owner 818-785-4282 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: CA 55562) |
Enumeration Date | 2015-02-10 |
Last Update Date | 2015-05-30 |