| Jacaranda Smiles Children's Dentistry And Orthodontics | |
|
104 Nw 100th Ave Plantation FL 33324-7008 | |
| (954) 452-9988 | |
| (954) 452-9966 |
| Full Name | Jacaranda Smiles Children's Dentistry And Orthodontics |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 104 Nw 100th Ave, Plantation, 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 104 Nw 100th Ave Plantation FL 33324-7008 Ph: (954) 452-9988 | Jacaranda Smiles Children's Dentistry And Orthodontics 104 Nw 100th Ave Plantation FL 33324-7008 Ph: (954) 452-9988 |
| NPI Number | 1114433646 |
|---|---|
| Provider Enumeration Date | 12/20/2017 |
| Last Update Date | 10/18/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114433646 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Secondary |
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