Individual
DR. FADDY A MAKARYUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
17531 N DALE MABRY HWY, LUTZ, FL 33548-4521
(813) 444-5060
Mailing address
17531 N DALE MABRY HWY, LUTZ, FL 33548-4521
(813) 444-5060
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN 18949
FL
Other
Enumeration date
06/12/2007
Last updated
09/21/2020
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