| Jacaranda Smiles Children's Dentistry And Orthodontics | |
|
10051 Pines Blvd Suite C Pembroke Pines FL 33024-6186 | |
| (954) 251-2717 | |
| (954) 613-4005 |
| Full Name | Jacaranda Smiles Children's Dentistry And Orthodontics |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 10051 Pines Blvd, Pembroke Pines, Florida |
| Authorized Official Name and Position | Monika Srivastava (OWNER/DENTIST) |
| Authorized Official Contact | 2154857069 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jacaranda Smiles Children's Dentistry And Orthodontics 10051 Pines Blvd Ste D Pembroke Pines FL 33024-6172 Ph: (954) 251-2717 | Jacaranda Smiles Children's Dentistry And Orthodontics 10051 Pines Blvd Suite C Pembroke Pines FL 33024-6186 Ph: (954) 251-2717 |
| NPI Number | 1043677925 |
|---|---|
| Provider Enumeration Date | 01/22/2016 |
| Last Update Date | 10/18/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043677925 | NPI | - | NPPES |
| 003557500 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Secondary |
Dr Z Smiles Of Pembroke Pines Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 15833 Pines Blvd, Pembroke Pines, FL 33027 Phone: 305-606-4291 | |
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Southwest Broward Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 18503 Pines Blvd, Suite 305, Pembroke Pines, FL 33029 Phone: 954-392-1851 | |
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