# THE CHILDREN'S TOOTH SPA P.C.

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

## Provider details

- **NPI number:** 1952996506
- **Authorized official:** DR. JENNIFER R PINERO DMD (PRESIDENT/CEO)
- **Authorized official phone:** (267) 296-1010

## Contact information

- **Practice address:** 801 N 2ND ST, PHILADELPHIA, PA 19123-3090
- **Practice address phone:** (267) 296-1010
- **Mailing address:** 801 N 2ND ST, PHILADELPHIA, PA 19123-3090
- **Mailing address phone:** (267) 296-1010

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/05/2021
- **Last updated:** 06/26/2021