Individual
EZZAT MAKAWI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
605 W DOUGLAS RD, MISHAWAKA, IN 46545-1438
(574) 277-2220
Mailing address
4466 VILLA PARADISO, WINDSOR, ONTARIO N9G2L-7
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12014084A
IN
Other
Enumeration date
05/25/2023
Last updated
05/25/2023
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