Tooth Fairy Dental I LLC
NPI #1487308201 in Miami Lakes, Florida
Provider Information
- NPI Number
- 1487308201
- Entity Type
- Organization
- Organization Name
- Tooth Fairy Dental I LLC
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Feb 10, 2022
- Last Updated
- Feb 10, 2022
Practice Location
- Address
- 15495 EAGLE NEST LN STE 110
- City
- Miami Lakes
- State
- Florida
- ZIP Code
- 33014-2242
- Phone
- (561) 891-9046
Authorized Official
- Name
- SCOTT SPENCER, DOCTOR
- Title
- OWNER
- Phone
- (561) 891-9046
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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