NPI | 1093609075 |
---|---|
Doing Business As | FIDLER ON THE TOOTH |
Entity Type | Organization |
Authorized Contact | FANG SUN General Dentist 206-526-1437 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist |
Additional Taxonomies | 1223G0001X Dentist, General Practice |
Enumeration Date | 2025-06-05 |
Last Update Date | 2025-06-05 |