# TOOTHLAND LLC

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

## Provider details

- **NPI number:** 1801464318
- **Authorized official:** YUSUF FAHMY (PRESIDENT)
- **Authorized official phone:** (630) 352-1547

## Contact information

- **Practice address:** 6414A CALUMET AVE, HAMMOND, IN 46324-1207
- **Practice address phone:** (219) 803-6165
- **Mailing address:** 6414A CALUMET AVE, HAMMOND, IN 46324-1207
- **Mailing address phone:** (219) 803-6165

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 06/12/2021
- **Last updated:** 06/12/2021