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Organization
LIU MAKAN DOWNEY DENTAL CORPORATION
Active
Organization
LIU MAKAN DOWNEY DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SIRISH MAKAN DDS (PRESIDENT)
(310) 872-8681
Entity
Organization
Contact information
Practice address
10601 PARAMOUNT BLVD, DOWNEY, CA 90241-3303
(562) 459-3311
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
03/29/2024
Last updated
03/29/2024
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