Individual
LEILA MAKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
8355 LORETTO AVE, PHILADELPHIA, PA 19152-1853
(215) 342-5750
Mailing address
3151 FIELDSTONE CT, GARNET VALLEY, PA 19060-6862
(484) 844-9204
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS042804
PA
Other
Enumeration date
07/13/2020
Last updated
07/13/2020
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