# A TOOTH FAIRY'S PLACE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306227855
- **Authorized official:** DR. SANDRA DEE OLIVAES-GARCIA D.D.S (DENTIST)
- **Authorized official phone:** (956) 541-3624

## Contact information

- **Practice address:** 1725 CENTRAL BLVD, BROWNSVILLE, TX 78520-8328
- **Practice address phone:** (956) 541-3624
- **Practice address fax:** (956) 542-5998
- **Mailing address:** 1725 CENTRAL BLVD, BROWNSVILLE, TX 78520-8328
- **Mailing address phone:** (956) 541-3624
- **Mailing address fax:** (956) 542-5998

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 30954 | TX | Yes |

## Other

- **Enumeration date:** 06/10/2015
- **Last updated:** 06/10/2015