Tooth Fairy Pediatric Dentistry
NPI #1609016963 in Ridgefield, Connecticut
Provider Information
- NPI Number
- 1609016963
- Entity Type
- Organization
- Organization Name
- Tooth Fairy Pediatric Dentistry
- Primary Specialty
- Dentist - Pediatric Dentistry
- Enumeration Date
- Feb 26, 2009
- Last Updated
- Nov 24, 2014
Practice Location
- Address
- 35 COPPS HILL RD
- Address 2
- SUITE 6
- City
- Ridgefield
- State
- Connecticut
- ZIP Code
- 06877-4041
- Phone
- (203) 403-2525
Authorized Official
- Name
- DR. SUHO LEE, DDS
- Title
- OWNER
- Phone
- (203) 403-2525
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics |
| Dentist - Dental Anesthesiology — Dental Anesthesiology |
| Dentist |
| Dentist - Pediatric Dentistry — Pediatric Dentistry |
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