Individual provider · Type 1 NPI

Sasha Manchanda

Pediatric Dentistry · Philadelphia, PA

NPI number 1124512157 Active

Practice location

6404 Roosevelt Blvd
Philadelphia, PA 19149-2943

Mailing address

1157 Markell Ct
Reston, VA 20194-1461

Other practice locations

  • 2301 E Allegheny Ave, Philadelphia, PA 19134-4427 · (215) 282-8000

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000XDS042450 (PA)
Pediatric Dentistry Primary 1223P0221XDS042450 (PA)

Pediatric Dentistry: 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.

27 other providers at this address

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About NPI 1124512157

Sasha Manchanda's National Provider Identifier is 1124512157, issued on Jun 22, 2018. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Philadelphia, PA. The record was last updated on Aug 19, 2020.