Organization
DR. MAK DENTAL CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GILBERT K MAK DDS (DIRECTOR)
(626) 308-3933
Entity
Organization
Contact information
Practice address
1234 S GARFIELD AVE, SUITE 108, ALHAMBRA, CA 91801-5065
(626) 308-3933
Mailing address
1234 S GARFIELD AVE, SUITE 108, ALHAMBRA, CA 91801-5065
(626) 308-3933
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
38083
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B38083-01
DENTI-CAL
CA
Enumeration date
01/10/2008
Last updated
01/10/2008
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