| Tooth Fairy Dental Center | |
|
141 Parker St Ste B Vacaville CA 95688-3921 | |
| (707) 450-1002 | |
| Not Available |
| Full Name | Tooth Fairy Dental Center |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 141 Parker St Ste B, Vacaville, California |
| Authorized Official Name and Position | Sucheta Amanjee (OWNER) |
| Authorized Official Contact | 7074501002 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tooth Fairy Dental Center 141 Parker St Ste B Vacaville CA 95688-3921 Ph: (707) 450-1002 | Tooth Fairy Dental Center 141 Parker St Ste B Vacaville CA 95688-3921 Ph: (707) 450-1002 |
| NPI Number | 1780024026 |
|---|---|
| Provider Enumeration Date | 07/01/2013 |
| Last Update Date | 07/02/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780024026 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 53573 (California) | Primary |
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