| NPI | 1659616233 |
|---|---|
| Doing Business As | TOOTH FAIRY LAND DBA |
| Entity Type | Organization |
| Authorized Contact | BAYARDO CORTES Dr Owner 305-279-4312 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: FL DN15894) |
| Enumeration Date | 2012-12-07 |
| Last Update Date | 2014-07-28 |