Provider Demographics
NPI:1225865439
Name:MAKAR, SAMA (DDS)
Entity type:Individual
Prefix:DR
First Name:SAMA
Middle Name:
Last Name:MAKAR
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 1:36 LINCOLN CT
Mailing Address - Street 2:
Mailing Address - City:BUENA PARK
Mailing Address - State:CA
Mailing Address - Zip Code:90620-4611
Mailing Address - Country:US
Mailing Address - Phone:714-765-9145
Mailing Address - Fax:
Practice Address - Street 1:4138 MAINE AVE STE M2
Practice Address - Street 2:
Practice Address - City:BALDWIN PARK
Practice Address - State:CA
Practice Address - Zip Code:91706-3302
Practice Address - Country:US
Practice Address - Phone:626-214-4076
Practice Address - Fax:626-921-5687
Is Sole Proprietor?:No
Enumeration Date:2024-09-19
Last Update Date:2024-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA110689122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist