NPI | 1043677925 |
---|---|
Doing Business As | JACARANDA SMILES CHILDREN'S DENTISTRY AND ORTHODONTICS |
Entity Type | Organization |
Authorized Contact | MONIKA SRIVASTAVA Owner/Dentist 215-485-7069 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
Enumeration Date | 2016-01-22 |
Last Update Date | 2024-10-18 |