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Organization
MAKAN TARZANA DENTAL CORPORATION
Active
Organization
MAKAN TARZANA DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SIRISH MAKAN D.D.S. (OFFICER)
(310) 872-8681
Entity
Organization
Contact information
Practice address
18372 CLARK ST STE 224, TARZANA, CA 91356-3559
(818) 996-1200
Mailing address
1908 RUE LE CHARLENE, RANCHO PALOS VERDES, CA 90275-6372
(310) 872-8681
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
NULL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
03/24/2022
Last updated
03/24/2022
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