Provider Demographics
NPI:1922723972
Name:ABEDI & MAKADIA DENTAL CORPORATION
Entity Type:Organization
Organization Name:ABEDI & MAKADIA DENTAL CORPORATION
Other - Org Name:POWAY ENDODONTICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RONAK
Authorized Official - Middle Name:
Authorized Official - Last Name:MAKADIA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:909-996-6951
Mailing Address - Street 1:9950 IRVINE CENTER DR
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92618-4357
Mailing Address - Country:US
Mailing Address - Phone:877-237-3636
Mailing Address - Fax:
Practice Address - Street 1:15835 POMERADO RD STE 302
Practice Address - Street 2:
Practice Address - City:POWAY
Practice Address - State:CA
Practice Address - Zip Code:92064-2043
Practice Address - Country:US
Practice Address - Phone:858-451-2050
Practice Address - Fax:858-451-2052
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-11
Last Update Date:2023-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223E0200XDental ProvidersDentistEndodonticsGroup - Single Specialty