Individual
KAREN MAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
12455 VICTORIA GARDENS LN STE 190, RANCHO CUCAMONGA, CA 91739-7534
(909) 463-7100
Mailing address
12455 VICTORIA GARDENS LN STE 190, RANCHO CUCAMONGA, CA 91739-7534
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
101022
CA
1223P0221X
Pediatric Dentistry
DE60530097
WA
Other
Enumeration date
03/12/2013
Last updated
03/08/2017
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