Individual
DR. PRASHANT P MAKADIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
417 SW SEDGWICK RD, SUITE 101, PORT ORCHARD, WA 98367
(360) 329-4657
(360) 329-6121
Mailing address
417 SW SEDGWICK RD, SUITE 101, PORT ORCHARD, WA 98367
(360) 471-1761
(360) 329-6121
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE 60022736
WA
Other
Enumeration date
07/15/2008
Last updated
02/18/2011
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