Organization
TOOTH FAIRY DENTAL II LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT SPENCER DOCTOR (OWNER)
(561) 891-9046
Entity
Organization
Contact information
Practice address
10205 S DIXIE HWY STE 200-201, PINECREST, FL 33156-3167
(561) 891-9046
Mailing address
10205 S DIXIE HWY STE 200-201, PINECREST, FL 33156-3167
(561) 891-9046
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
02/10/2022
Last updated
02/10/2022
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