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Philip Maldonado, DMD
NPI 1306255351 · on the registry since 2014
Practice
- Address
- 19025 Wileys Well Rd
Blythe, CA 92225 - Phone
- (760) 922-5300
- Fax
- (714) 992-0759
- Organisation at this address
- Chuckawala Vallwy State Prison
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 11
Registry record
- Primary taxonomy
- Dentist
122300000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-12-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California