| NPI | 1871337477 |
|---|---|
| Doing Business As | FIDLER ON THE TOOTH |
| Entity Type | Organization |
| Authorized Contact | VICKI FIDLER President 206-850-5604 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2024-06-20 |
| Last Update Date | 2024-06-20 |