Organization
LINDA Y MAKUTA DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LINDA Y MAKUTA DDS (CEO)
(818) 981-7375
Entity
Organization
Contact information
Practice address
5400 BALBOA BLVD, SUITE 229, ENCINO, CA 91316-1502
(818) 981-7375
Mailing address
5400 BALBOA BLVD, SUITE 229, ENCINO, CA 91316-1502
(818) 981-7375
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
45587
CA
Other
Enumeration date
03/03/2015
Last updated
03/03/2015
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