Madalia, Pankti

Madalia, Pankti is an individual health care provider with primary practice located at 16011 Butterfield Ranch Rd Apt 226, Chino Hills CA 91709-7455. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Madalia, Pankti can be contacted via phone (908) 400-8460.

Contact Information

Primary practice address
16011 Butterfield Ranch Rd Apt 226 Chino Hills CA 91709-7455
Phone: (908) 400-8460
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X 30686 California

Profile Details

NPI number 1790220689
LBN Legal business name Madalia, Pankti
Credentials Registered Dental Hygienist (RDH)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 30th, 2016
Last updated Dec 30th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790220689 NPPES
California MEDICAID 30686

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