| NPI | 1649409525 |
|---|---|
| Doing Business As | TOOTH FAIRY FAMILY AND COSMETIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | SAVITHA KRISHNAMOORTHY President 571-274-0797 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2009-07-13 |
| Last Update Date | 2009-07-13 |