# TOOTHFAIRY IN HOME DENTAL HYGIENE

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

## Provider details

- **NPI number:** 1780043380
- **Authorized official:** MS. BONNIE M SLATKIN RDHAP (OWNER)
- **Authorized official phone:** (925) 788-0235

## Contact information

- **Practice address:** 278 STRANAHAN CIR, CLAYTON, CA 94517-1456
- **Practice address phone:** (925) 788-2035
- **Mailing address:** 278 STRANAHAN CIR, CLAYTON, CA 94517-1456
- **Mailing address phone:** (925) 788-2035

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320700000X | Physical Disabilities Residential Treatment Facility | HAP 490 | CA | Yes |

## Other

- **Enumeration date:** 02/11/2016
- **Last updated:** 02/11/2016