| Tadhamaloo Dental Corporation | |
|
5696 Mission Blvd 5696 Mission Blvd Riverside CA 92509-4404 | |
| (951) 369-3344 | |
| (951) 369-4041 |
| Full Name | Tadhamaloo Dental Corporation |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5696 Mission Blvd, Riverside, California |
| Authorized Official Name and Position | Huzaifa Hatimali Maloo (PARTNER) |
| Authorized Official Contact | 9513693344 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tadhamaloo Dental Corporation 5696 Mission Blvd 5696 Mission Blvd Riverside CA 92509-4404 Ph: (951) 369-3344 | Tadhamaloo Dental Corporation 5696 Mission Blvd 5696 Mission Blvd Riverside CA 92509-4404 Ph: (951) 369-3344 |
| NPI Number | 1861653792 |
|---|---|
| Provider Enumeration Date | 06/23/2008 |
| Last Update Date | 06/23/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861653792 | NPI | - | NPPES |
| 1871661652 | Other | CA | NATIONAL PROVIDER IDENTIFIER |
| 1891801825 | Other | CA | NATIONAL PROVIDER IDENTIFIER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 49372 (California) | Primary |
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