MUDITAJAYA DENTAL CORPORATION
NPI 1942381066
Dentist - General Practice in Pico Rivera, CA

Active since October 17, 2006
9123 SLAUSON AVE, PICO RIVERA, CA 90660(562) 949-0177(562) 949-4776 Get Directions Write a Review

NPPES record last updated: March 9, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Muditajaya Dental Corporation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MUDITAJAYA DENTAL CORPORATION (NPI 1942381066) is a healthcare organization registered as a general practice in Pico Rivera, California and active in the NPI registry since October 2006. The organization lists Danny Muditajaya, Ceo, as its authorized official.

NPPES Registry Identity

NPI1942381066
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameMUDITAJAYA DENTAL CORPORATION
Location Address9123 SLAUSON AVEPico Rivera, CA 90660-4522
Mailing Address9123 Slauson AvePico Rivera, CA 90660-4522 · (562) 949-0177 · Fax (562) 949-4776
Fax(562) 949-4776
Organization SubpartNo
Authorized OfficialDanny MuditajayaCeo · (562) 949-0177
Enumeration DateOctober 17, 2006
Last NPPES UpdateMarch 9, 2010
NPI 1942381066 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in CA · 30419
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
9123 SLAUSON AVE, Pico Rivera, CA 90660

Other Identifiers 1

MedicaidG9166001CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist
9123 SLAUSON AVE
PICO RIVERA, CA 90660
Dentist (General Practice)
9123 SLAUSON AVE
PICO RIVERA, CA 90660
Dentist
9123 SLAUSON AVE
PICO RIVERA, CA 90660
Dentist
9123 SLAUSON AVE
PICO RIVERA, CA 90660

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Muditajaya Dental Corporation's NPI number?

The NPI number for Muditajaya Dental Corporation is 1942381066. It was assigned to this organization in the NPPES registry on October 17, 2006.

Where is Muditajaya Dental Corporation located?

Muditajaya Dental Corporation is located at 9123 Slauson Ave, Pico Rivera, CA 90660. The listed phone number is (562) 949-0177.

What is Muditajaya Dental Corporation's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Muditajaya Dental Corporation was last updated on March 9, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.