# MAKAN DENTAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790433001
- **Authorized official:** SIRISH MAKAN D.D.S. (CLINICAL DIRECTOR)
- **Authorized official phone:** (310) 872-8681

## Contact information

- **Practice address:** 5555 TRUXTUN AVE STE 200, BAKERSFIELD, CA 93309-0604
- **Practice address phone:** (310) 872-8681
- **Mailing address:** 1908 RUE LE CHARLENE, RANCHO PALOS VERDES, CA 90275-6372
- **Mailing address phone:** (310) 872-8681

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |

## Other

- **Enumeration date:** 03/15/2022
- **Last updated:** 10/26/2022