Doctor Name: | JILL LAURIE GARRIDO |
NPI Number: | 1003109877 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.D.S. |
License Number: | DS038649 |
Business Practice Address: | 2901 Dutton Mill Rd Aston, PA - 190142849 |
Business Phone Number: | 6104859977 |
Business Fax Number: | |
Mailing Address: | 306 Cherry St, Apt. 1 PHILADELPHIA |
State: | PA |
Postal Code: | 191061863 |
Phone Number: | 7175758929 |
Fax Number: | |
NPI Enumeration Date: | 05/26/2011 |
NPI Last Update Date: | 05/26/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1223P0221X |
License Number: | DS038649 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Dental Providers |
Taxonomy Classification: | Dentist |
Taxonomy Specialization: | Pediatric Dentistry |
Taxonomy Definition: | An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |