NPI | 1093362188 |
---|---|
Doing Business As | TOOTH FAIRY COTTAGE |
Entity Type | Organization |
Authorized Contact | ANDREW NGYUEN Dentist/Owner 408-238-2647 |
Organization Subpart ? | Yes |
Primary Taxonomy | 122300000X Dentist |
Additional Taxonomies | 1223G0001X Dentist, General Practice |
Enumeration Date | 2019-08-22 |
Last Update Date | 2019-08-22 |