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NPI Code Detail

MEDICARE: DR. MARY MAKHLOUF DMD

MEDICARE: DR. MARY MAKHLOUF DMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry5767NC

General Provider Information

NPI Number : 1164450292
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARY MAKHLOUF DMD
Provider Business Mailing Address
First Line : 215 E ELM ST
Second Line :
City : GRAHAM
State : NC
Zip : 27253-3021
Country : US
Telephone Number : 336-226-8406
Fax Number : 336-226-9281
Provider Business Practice Location Address
First Line : 215 E ELM ST
Second Line :
City : GRAHAM
State : NC
Zip : 27253-3021
Country : US
Telephone Number : 336-226-8406
Fax Number : 336-226-9281
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/29/2006
Last Update Date : 07/08/2007

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