Organization
KIDS FIRST DENTISTRY,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JILA J MAHAJAN DDS (CEO)
(904) 423-1377
Entity
Organization
Contact information
Practice address
4495 ROOSEVELT BLVD, SUITE 111, JACKSONVILLE, FL 32210-3375
(904) 423-1377
(904) 423-1958
Mailing address
4495 ROOSEVELT BLVD, SUITE 111, JACKSONVILLE, FL 32210-3375
(904) 423-1377
(904) 423-1958
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DN13919
FL
Other
Enumeration date
09/11/2013
Last updated
09/11/2013
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