Provider Demographics
NPI:1912068461
Name:GEORGE, RITA MAKHIJANI (DDS)
Entity Type:Individual
Prefix:
First Name:RITA
Middle Name:MAKHIJANI
Last Name:GEORGE
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 1:7348 180TH ST
Mailing Address - Street 2:
Mailing Address - City:FRESH MEADOWS
Mailing Address - State:NY
Mailing Address - Zip Code:11366-1606
Mailing Address - Country:US
Mailing Address - Phone:718-267-2001
Mailing Address - Fax:718-267-8001
Practice Address - Street 1:2922 30TH AVE
Practice Address - Street 2:
Practice Address - City:ASTORIA
Practice Address - State:NY
Practice Address - Zip Code:11102-2247
Practice Address - Country:US
Practice Address - Phone:718-267-2001
Practice Address - Fax:718-267-8001
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0397321223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice