The Tooth Fairies 2 LLC
NPI #1912139106 in Issaquah, Washington
Provider Information
- NPI Number
- 1912139106
- Entity Type
- Organization
- Organization Name
- The Tooth Fairies 2 LLC
- Primary Specialty
- Dental Hygienist
- Enumeration Date
- Aug 20, 2009
- Last Updated
- Aug 20, 2009
Practice Location
- Address
- 1840 25TH AVE NE APT 414
- City
- Issaquah
- State
- Washington
- ZIP Code
- 98029-2641
- Phone
- (425) 417-0630
Authorized Official
- Name
- HELEN ELISE TANNER, RDH, BS
- Title
- PRESIDENT
- Phone
- (425) 417-0630
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dental Hygienist |
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