Organization · Type 2 NPI
Tooth Fairies of California
Public Health or Welfare Agency · Elk Grove, CA
NPI number
1093422040
Active
Practice location
7915 Laguna Blvd Ste 105
Elk Grove, CA 95758-7945
Mailing address
10373 Gilliam Dr
Elk Grove, CA 95757-3512
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Public Health or Welfare Agency Primary | 251K00000X | None listed |
Public Health or Welfare Agency: Definition to come...
About NPI 1093422040
Tooth Fairies of California's National Provider Identifier is 1093422040, issued on Oct 31, 2022. The primary taxonomy on file is Public Health or Welfare Agency (251K00000X), and the practice location is in Elk Grove, CA. The record was last updated on Oct 31, 2022.