| Tooth Fairy Pediatric Dentistry | |
|
345 Main St Danbury CT 06810-5847 | |
| (203) 403-2525 | |
| (203) 403-2545 |
| Full Name | Tooth Fairy Pediatric Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 345 Main St, Danbury, Connecticut |
| Authorized Official Name and Position | Suho Lee (MEMBER) |
| Authorized Official Contact | 2034032525 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tooth Fairy Pediatric Dentistry 345 Main St Danbury CT 06810-5847 Ph: (203) 403-2525 | Tooth Fairy Pediatric Dentistry 345 Main St Danbury CT 06810-5847 Ph: (203) 403-2525 |
| NPI Number | 1184157430 |
|---|---|
| Provider Enumeration Date | 04/04/2017 |
| Last Update Date | 04/04/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184157430 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 009091 (Connecticut) | Primary |
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