| NPI | 1366047326 |
|---|---|
| Doing Business As | TOOTH ACRES DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | ALYSSA E FISHER Owner 260-241-7592 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2020-11-30 |
| Last Update Date | 2023-05-12 |