Provider Demographics
NPI:1770666877
Name:MAKABI, JALEH JANET (DDS)
Entity Type:Individual
Prefix:MRS
First Name:JALEH
Middle Name:JANET
Last Name:MAKABI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6325 TOPANGA CYN BLVD
Mailing Address - Street 2:#518
Mailing Address - City:WOODLAND HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91367
Mailing Address - Country:US
Mailing Address - Phone:818-404-9262
Mailing Address - Fax:818-346-6047
Practice Address - Street 1:6325 TOPANGA CYN BLVD
Practice Address - Street 2:#518
Practice Address - City:WOODLAND HILLS
Practice Address - State:CA
Practice Address - Zip Code:91367
Practice Address - Country:US
Practice Address - Phone:818-404-9262
Practice Address - Fax:818-346-6047
Is Sole Proprietor?:No
Enumeration Date:2006-10-23
Last Update Date:2009-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA313181223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice