Toothfairy, P.c. | |
118 Dickerson Rd Suite D North Wales PA 19454-2538 | |
(215) 699-0650 | |
(215) 699-9599 |
Full Name | Toothfairy, P.c. |
---|---|
Speciality | Dentist - Pediatric Dentistry |
Location | 118 Dickerson Rd, North Wales, Pennsylvania |
Authorized Official Name and Position | Kathleen V. Mullen (OWNER) |
Authorized Official Contact | 2156990650 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Toothfairy, P.c. 118 Dickerson Rd Suite D North Wales PA 19454-2538 Ph: (215) 699-0650 | Toothfairy, P.c. 118 Dickerson Rd Suite D North Wales PA 19454-2538 Ph: (215) 699-0650 |
NPI Number | 1760522544 |
---|---|
Provider Enumeration Date | 02/08/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1760522544 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0221X | Dentist - Pediatric Dentistry | DS025133L (Pennsylvania) | Primary |
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