The Tooth Fairy, Inc.

NPI #1114204302 in Sheridan, Oregon

Provider Information

NPI Number
1114204302
Entity Type
Organization
Organization Name
The Tooth Fairy, Inc.
Primary Specialty
Dental Hygienist
Enumeration Date
Nov 16, 2011
Last Updated
Nov 16, 2011

Practice Location

Address
21300 GOOSENECK CREEK RD
State
Oregon
ZIP Code
97378-9573
Phone
(503) 843-3348

Authorized Official

Name
MS. ELAINE V. SCHLOEDER, RDH, LAP
Title
PRESIDENT
Phone
(503) 843-3348

Specialties & Taxonomy Codes

Specialty
Dental Hygienist

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