NPI 1003015082

Pravinchandra Makadia DDS

Organisation General Practice Dentistry Pomona, CA

Practice location

Address: 826 E Mission Blvd, Pomona, CA 91766-2044
Phone: (909) 622-1817
Fax: (909) 622-8750

Authorised official

Name: Pravin K Makadia
Title: Owner
Phone: (909) 622-1817

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence 52425 (CA)

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Registry record

NPI: 1003015082
Entity type: Organization
NPI issued: 11 Jul 2007
Record last updated: 11 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.