Vinay Kumar Madavan DDS

NPI 1043647159 - Dentist - 122300000X

NPI Details
NPI 1043647159
Gender Male
Enumeration Date 10/03/2013
Last Updated 10/03/2013
Entity Type Individual
Active Over 3 years ago
Practice Location
1108 WARD AVE STE 10B
PATTERSON CA, 95363-8529, US
Phone (209) 895-5440
Fax
Business Location
1108 WARD AVE STE 10B
PATTERSON CA, 95363-8529, US
Phone (209) 895-5440
Fax
Toxanomy
Taxonomy Code 122300000X
License State California
License Number 62590
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According to our database, Vinay Kumar Madavan DDS NPI is 1043647159, taxonomy code is 122300000X and license number is 62590, license state is located at California. Vinay Kumar Madavan DDS physically located at 1108 Ward Ave Ste 10b, Patterson CA, 95363-8529. NPI Number Vinay Kumar Madavan DDS has the Individual type.

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1043647159 NPI number is provided on an as is basis without warranty of any kind. 1043647159 is maintained by the National Plan & Provider Enumeration System. The contents of Vinay Kumar Madavan DDS are for informational purposes only.