Organization
MONIKA SRIVASTAVA DMD PA PLANTATION
Active
Other names
JACARANDA SMILES CHILDREN'S DENTISTRY AND ORTHODONTICS
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MONIKA SRIVASTAVA DMD (OWNER/DENTIST)
(215) 485-7069
Entity
Organization
Contact information
Practice address
104 NW 100TH AVE, PLANTATION, FL 33324-7008
(954) 452-9988
(954) 452-9966
Mailing address
104 NW 100TH AVE, PLANTATION, FL 33324-7008
(954) 452-9988
(954) 452-9966
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Enumeration date
12/20/2017
Last updated
10/18/2024
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