Organization
THE TOOTH FAIRY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ELAINE V. SCHLOEDER RDH, LAP (PRESIDENT)
(503) 843-3348
Entity
Organization
Contact information
Practice address
21300 GOOSENECK CREEK RD, SHERIDAN, OR 97378-9573
(503) 843-3348
(503) 843-3348
Mailing address
21300 GOOSENECK CR. RD., SHERIDAN, OR 97378-9543
(503) 843-3348
(503) 843-3348
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H-3797
OR
Other
Enumeration date
11/16/2011
Last updated
11/16/2011
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