Organization
JILA J.MAHAJAN, D.D.S.L.L.C
Active
Parent organization
KIDS FIRST DENTISTRY
Organization subpart
Yes
Provider details
NPI number
Legal business name
KIDS FIRST DENTISTRY
Authorized official
DR. JILA J MAHAJAN DDS (MANAGER/OWNER)
(904) 423-1377
Entity
Organization
Contact information
Practice address
4495 ROOSEVELT BLVD STE 111, JACKSONVILLE, FL 32210-3382
(904) 423-1377
Mailing address
4495 ROOSEVELT BLVD STE 111, JACKSONVILLE, FL 32210-3382
(904) 423-1377
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DN13919
FL
Other
Enumeration date
09/25/2014
Last updated
09/25/2014
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