| NPI | 1225757222 |
|---|---|
| Doing Business As | TOOTH FAIRY SPA |
| Entity Type | Organization |
| Authorized Contact | SHEIDA NAKHAEI Owner 410-254-8624 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2022-08-23 |
| Last Update Date | 2022-08-29 |