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1962658690
TOOTH FAIRY DENTAL GROUP
TEMECULA, CA
NPI
1962658690
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Entity Type
Organization
Authorized Contact
NATHANIEL S LIU
President
619-259-4001
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
(Licence: CA D44924)
Enumeration Date
2008-08-13
Last Update Date
2022-07-21
Business Address
TOOTH FAIRY DENTAL GROUP
28350 VIA SANTA ROSA
TEMECULA, CA 92590-5335
Phone number: 619-259-4001
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Mailing Address
TOOTH FAIRY DENTAL GROUP
1040 TIERRA DEL REY STE 103
CHULA VISTA, CA 91910-7865
Phone number: 619-482-1210
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