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Individual

DR. ASHOKKUMAR MAKADIA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
1604 LAKELAND AVE, BOHEMIA, NY 11716-2146
(631) 567-5566
Mailing address
1604 LAKELAND AVE, BOHEMIA, NY 11716-2146
(631) 567-5566

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
39691
NY

Other

Enumeration date
01/30/2014
Last updated
01/30/2014
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