Provider Demographics
NPI:1790938686
Name:MAKARITA, HAMADA R (DDS)
Entity Type:Individual
Prefix:DR
First Name:HAMADA
Middle Name:R
Last Name:MAKARITA
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2936 CHAIN BRIDGE RD
Mailing Address - Street 2:#200
Mailing Address - City:OAKTON
Mailing Address - State:VA
Mailing Address - Zip Code:22124-3003
Mailing Address - Country:US
Mailing Address - Phone:703-255-1150
Mailing Address - Fax:703-255-2733
Practice Address - Street 1:2936 CHAIN BRIDGE RD
Practice Address - Street 2:#200
Practice Address - City:OAKTON
Practice Address - State:VA
Practice Address - Zip Code:22124-3003
Practice Address - Country:US
Practice Address - Phone:703-255-1150
Practice Address - Fax:703-255-2733
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-23
Last Update Date:2008-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA71491223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice