Individual
SASHA MANCHANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6404 ROOSEVELT BLVD, PHILADELPHIA, PA 19149-2943
(215) 743-3700
Mailing address
1157 MARKELL CT, RESTON, VA 20194-1461
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DS042450
PA
1223P0221X
Pediatric Dentistry
Primary
DS042450
PA
Other
Enumeration date
06/22/2018
Last updated
08/19/2020
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