Tooth Fairy Dental II LLC

NPI #1093469827 in Pinecrest, Florida

Provider Information

NPI Number: 1093469827
Entity Type: Organization
Organization Name: Tooth Fairy Dental II LLC
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Feb 10, 2022
Last Updated: Feb 10, 2022

Practice Location

Address: 10205 S DIXIE HWY STE 200-201
City: Pinecrest
State: Florida
ZIP Code: 33156-3167
Phone: (561) 891-9046

Authorized Official

Name: SCOTT SPENCER, DOCTOR
Title: OWNER
Phone: (561) 891-9046

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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