| NPI | 1184157430 |
|---|---|
| Doing Business As | TOOTH FAIRY PEDIATRIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | SUHO LEE Member 203-403-2525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CT 009091) |
| Enumeration Date | 2017-04-04 |
| Last Update Date | 2017-04-04 |