Organization
JK DENTAL CONSULTANTS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VAIBHAV JAGAD DMD (MANAGER)
(815) 995-2852
Entity
Organization
Contact information
Practice address
60 EAST ST STE 2500, METHUEN, MA 01844-4519
(978) 788-9303
Mailing address
320 MIDDLESEX AVE UNIT C208, MEDFORD, MA 02155-5084
(815) 995-2852
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Enumeration date
10/28/2024
Last updated
11/20/2024
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