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Contact Information

A TOOTH FAIRY'S PLACE
1725 CENTRAL BLVD
BROWNSVILLE, TX78520-8328
 Phone: 956-541-3624
 Fax: 956-542-5998
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for A TOOTH FAIRYS PLACE · (Female)

NPI # 1306227855
Status Active
Credentials
Entity Individual
Enumeration date 06/10/2015
Last updated 06/10/2015 - About 11 years ago
Sole proprietor 1 Not specified
Identifiers
  • TX License # 30954
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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