| Tooth Fairy Dental Center | |
|
520 Cottonwood St Ste 3 Woodland CA 95695-3603 | |
| (530) 662-7558 | |
| (530) 668-2121 |
| Full Name | Tooth Fairy Dental Center |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 520 Cottonwood St Ste 3, Woodland, California |
| Authorized Official Name and Position | Sucheta Sarathy Amanjee (OWNER CEO) |
| Authorized Official Contact | 9167807890 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tooth Fairy Dental Center 520 Cottonwood St Ste 3 Woodland CA 95695-3603 Ph: (530) 662-7558 | Tooth Fairy Dental Center 520 Cottonwood St Ste 3 Woodland CA 95695-3603 Ph: (530) 662-7558 |
| NPI Number | 1740833805 |
|---|---|
| Provider Enumeration Date | 07/18/2019 |
| Last Update Date | 07/18/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740833805 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (NU) | Primary |
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