Tadhamaloo Dental Corporation

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

49372 Issued in CA

Legal business name

TADHAMALOO DENTAL CORPORATION

Practice address

5696 Mission Blvd
5696 Mission Blvd
Riverside, CA 92509-4404

Phone

(951) 369-3344

Fax

(951) 369-4041

NPI assigned

Jun 23, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Huzaifa Hatimali Maloo, DDS

Title

Partner

Phone

(951) 369-3344

Specialties & licenses 1

Addresses

Other identifiers 2

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1214179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214179200000",
    "number": "1861653792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5696 MISSION BLVD",
            "address_2": "5696 MISSION BLVD",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925094404",
            "telephone_number": "951-369-3344",
            "fax_number": "951-369-4041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5696 MISSION BLVD",
            "address_2": "5696 MISSION BLVD",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925094404",
            "telephone_number": "951-369-3344",
            "fax_number": "951-369-4041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TADHAMALOO DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-23",
        "last_updated": "2008-06-23",
        "status": "A",
        "authorized_official_last_name": "MALOO",
        "authorized_official_first_name": "HUZAIFA",
        "authorized_official_middle_name": "HATIMALI",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "951-369-3344",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "49372",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL PROVIDER IDENTIFIER",
            "identifier": "1871661652",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL PROVIDER IDENTIFIER",
            "identifier": "1891801825",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Mina Tacawy, BA, RBT
• Aries Arvin Tacderan
• Erica Tadeo, AMFT
• Sreehimaja Tadepalli, M.S
• Samir M Tadha, D.D.S.
• Claudia Tadina
• Karim Tadlaoui, M.D.
• Rhoda C Tadlock
• Michael Edward Milad Tadros, RPH
• Vishwas D. Tadwalkar, MD

• General Practice Dentistry in Riverside, CA
• Providers in Riverside, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.