| NPI | 1114433646 |
|---|---|
| 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 | 2017-12-20 |
| Last Update Date | 2024-10-18 |