| The Traveling Toothfairy, Llc | |
|
9 Fire Road 15a Lunenburg MA 01462 | |
| (508) 596-3506 | |
| Not Available |
| Full Name | The Traveling Toothfairy, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 9 Fire Road 15a, Lunenburg, Massachusetts |
| Authorized Official Name and Position | Marcy E Foreman (OWNER) |
| Authorized Official Contact | 5085963506 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Traveling Toothfairy, Llc 9 Fire Road 15a Lunenburg MA 01462 Ph: (508) 596-3506 | The Traveling Toothfairy, Llc 9 Fire Road 15a Lunenburg MA 01462 Ph: (508) 596-3506 |
| NPI Number | 1033691464 |
|---|---|
| Provider Enumeration Date | 09/01/2018 |
| Last Update Date | 09/01/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033691464 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 10543 (Massachusetts) | Primary |
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