# MINA MAKRAM DDS LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Cedar Grove Dental Group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194485268
- **Authorized official:** DR. MINA MAKRAM (OWNER)
- **Authorized official phone:** (973) 857-0567

## Contact information

- **Practice address:** 466 POMPTON AVE STE 6/7, CEDAR GROVE, NJ 07009-1812
- **Practice address phone:** (973) 857-0567
- **Mailing address:** 466 POMPTON AVE STE 6/7, CEDAR GROVE, NJ 07009-1812
- **Mailing address phone:** (973) 857-0567

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 12/30/2021
- **Last updated:** 05/06/2026