| NPI | 1740833805 |
|---|---|
| Doing Business As | TOOTH FAIRY DENTAL CENTER |
| Entity Type | Organization |
| Authorized Contact | SUCHETA SARATHY AMANJEE Owner CEO 916-780-7890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2019-07-18 |
| Last Update Date | 2019-07-18 |