Provider Demographics
NPI:1568502797
Name:NANDINI R. MURTHY DDS,INC
Entity Type:Organization
Organization Name:NANDINI R. MURTHY DDS,INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:NANDINI
Authorized Official - Middle Name:R
Authorized Official - Last Name:MURTHY
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:714-774-2638
Mailing Address - Street 1:607 E CHAPMAN AVE
Mailing Address - Street 2:
Mailing Address - City:FULLERTON
Mailing Address - State:CA
Mailing Address - Zip Code:92831-3803
Mailing Address - Country:US
Mailing Address - Phone:714-774-2638
Mailing Address - Fax:714-774-2640
Practice Address - Street 1:607 E CHAPMAN AVE
Practice Address - Street 2:
Practice Address - City:FULLERTON
Practice Address - State:CA
Practice Address - Zip Code:92831-3803
Practice Address - Country:US
Practice Address - Phone:714-774-2638
Practice Address - Fax:714-774-2640
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-07
Last Update Date:2013-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA388861223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty