| Fairy & Tooth Pllc | |
|
25230 Fm 1093 Rd Ste C Richmond TX 77406-2805 | |
| (832) 930-0060 | |
| Not Available |
| Full Name | Fairy & Tooth Pllc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 25230 Fm 1093 Rd Ste C, Richmond, Texas |
| Authorized Official Name and Position | Dzhuliya Servetnik (OWNER) |
| Authorized Official Contact | 8329300060 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fairy & Tooth Pllc 2507 Eason Ln Houston TX 77008-2964 Ph: () - | Fairy & Tooth Pllc 25230 Fm 1093 Rd Ste C Richmond TX 77406-2805 Ph: (832) 930-0060 |
| NPI Number | 1962162115 |
|---|---|
| Provider Enumeration Date | 12/28/2021 |
| Last Update Date | 12/28/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962162115 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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