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General NPI Number Information
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NPI Number | 1669030037
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Entity Type | Organization
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Legal Business Name | MAKRIS DENTAL LLC
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Dates
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Enumeration Date | 05/31/2019
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Last Update Date | 05/31/2019
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Provider Practice Location Address
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Address Line | 13250 NARCOOSSEE ROAD
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City | ORLANDO
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State | FL
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Zip | 32827
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Country | US
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Telephone | 407-965-9967
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Fax |
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Provider Business Mailing Address
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Address Line | 1391 CHAPARRAL LN
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City | WINTER SPRINGS
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State | FL
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Zip | 32708-4853
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | DR. ELIZABETA COKOVSKA
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Credential | DMD. PROSTHODONTIST
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Telephone | 407-965-9967
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0700X
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Taxonomy Name | Prosthodontics
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License Number |
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License Number State |
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