| NPI | 1518794627 |
|---|---|
| Doing Business As | UNIONDALE TOOTH FAIRY |
| Entity Type | Organization |
| Authorized Contact | TRACEY AMBRISTER Owner 516-307-9909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2024-09-14 |
| Last Update Date | 2024-09-14 |