| Parul Dua Makkar Dds, Pc | |
|
121-02 Liberty Avenue S. Richmond Hill NY 11419-2112 | |
| (718) 641-1160 | |
| (718) 641-1167 |
| Full Name | Parul Dua Makkar Dds, Pc |
|---|---|
| Speciality | Dentist |
| Location | 121-02 Liberty Avenue, S. Richmond Hill, New York |
| Authorized Official Name and Position | Parul Dua Makkar (OWNER) |
| Authorized Official Contact | 7186411160 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Parul Dua Makkar Dds, Pc 121-02 Liberty Avenue S. Richmond Hill NY 11419-2112 Ph: (718) 641-1160 | Parul Dua Makkar Dds, Pc 121-02 Liberty Avenue S. Richmond Hill NY 11419-2112 Ph: (718) 641-1160 |
| NPI Number | 1356613608 |
|---|---|
| Provider Enumeration Date | 02/02/2012 |
| Last Update Date | 02/02/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356613608 | NPI | - | NPPES |
| 02966310 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 053657 (New York) | Primary |