| NPI | 1376917476 |
|---|---|
| Doing Business As | TOOTHFAIRY CHILDREN'S DENTAL |
| Entity Type | Organization |
| Authorized Contact | JEANSSE VILLANUEVA Office Manager 702-222-9700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NV 3733) |
| Enumeration Date | 2015-11-30 |
| Last Update Date | 2015-11-30 |