Parul Dua Makkar Dds, Pc | |
121-02 Liberty Avenue S. Richmond Hill NY 11419-2112 | |
(718) 641-1160 | |
(718) 641-1167 |
Full Name | Parul Dua Makkar Dds, Pc |
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Speciality | Dentist |
Location | 121-02 Liberty Avenue, S. Richmond Hill, New York |
Authorized Official Name and Position | Parul Dua Makkar (OWNER) |
Authorized Official Contact | 7186411160 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Parul Dua Makkar Dds, Pc 121-02 Liberty Avenue S. Richmond Hill NY 11419-2112 Ph: (718) 641-1160 | Parul Dua Makkar Dds, Pc 121-02 Liberty Avenue S. Richmond Hill NY 11419-2112 Ph: (718) 641-1160 |
NPI Number | 1356613608 |
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Provider Enumeration Date | 02/02/2012 |
Last Update Date | 02/02/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1356613608 | NPI | - | NPPES |
02966310 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 053657 (New York) | Primary |