Individual
IVAN MAKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
90 BROOKLAWN AVE, BRIDGEPORT, CT 06604-2010
(203) 334-4837
Mailing address
60 1ST AVE APT 19A, NEW YORK, NY 10009-7342
(203) 504-2786
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11204
CT
Other
Enumeration date
07/03/2014
Last updated
06/08/2015
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