| NPI | 1780024026 |
|---|---|
| Doing Business As | TOOTH FAIRY DENTAL CENTER |
| Entity Type | Organization |
| Authorized Contact | SUCHETA AMANJEE Owner 707-450-1002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CA 53573) |
| Enumeration Date | 2013-07-01 |
| Last Update Date | 2013-07-02 |