| NPI | 1881870822 |
|---|---|
| Other Name | TOOTHFAIRY DENTAL PC |
| Entity Type | Organization |
| Authorized Contact | NAYELI V MCCASKEY President 978-458-2616 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service (Licence: MA 000862730) |
| Enumeration Date | 2008-01-19 |
| Last Update Date | 2008-01-19 |