| NPI | 1770906992 |
|---|---|
| Former Name | JESSICA FRANCES KRAVIT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CA 64173) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: NY 00000000000000000000) |
| Enumeration Date | 2014-01-23 |
| Last Update Date | 2015-09-03 |