| Jonathan L. Maddatu DDS | |
|
44841 10th St W None Lancaster CA 93534-2311 | |
| (661) 948-1655 | |
| (661) 940-9636 |
| Full Name | Jonathan L. Maddatu DDS |
|---|---|
| Speciality | Dentist |
| Location | 44841 10th St W, Lancaster, California |
| Authorized Official Name and Position | Jonathan Lorenzo Maddatu (DENTIST/OWNER) |
| Authorized Official Contact | 8187868803 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathan L. Maddatu DDS 44841 10th St W None Lancaster CA 93534-2311 Ph: (661) 948-1655 | Jonathan L. Maddatu DDS 44841 10th St W None Lancaster CA 93534-2311 Ph: (661) 948-1655 |
| NPI Number | 1790118222 |
|---|---|
| Provider Enumeration Date | 08/20/2013 |
| Last Update Date | 08/20/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790118222 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 55562 (California) | Primary |
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