Provider Demographics
NPI:1831416296
Name:DR. LAKSHMI C MAKKAR
Entity type:Organization
Organization Name:DR. LAKSHMI C MAKKAR
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LAKSHMI
Authorized Official - Middle Name:
Authorized Official - Last Name:MAKKAR
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:718-641-1160
Mailing Address - Street 1:10402 120TH ST
Mailing Address - Street 2:
Mailing Address - City:SOUTH RICHMOND HILL
Mailing Address - State:NY
Mailing Address - Zip Code:11419-2812
Mailing Address - Country:US
Mailing Address - Phone:718-641-1160
Mailing Address - Fax:718-641-1167
Practice Address - Street 1:10402 120TH ST
Practice Address - Street 2:
Practice Address - City:SOUTH RICHMOND HILL
Practice Address - State:NY
Practice Address - Zip Code:11419-2812
Practice Address - Country:US
Practice Address - Phone:718-641-1160
Practice Address - Fax:718-641-1167
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-26
Last Update Date:2010-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental