Organization
THE TOOTH FAIRIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. H ELISE TANNER RDH, BS (REGISTERED DENTAL HYGIENIST)
(425) 417-0630
Entity
Organization
Contact information
Practice address
2603 244TH AVE SE, SAMMAMISH, WA 98075-9402
(425) 417-0630
Mailing address
2603 244TH AVE SE, SAMMAMISH, WA 98075-9402
(425) 417-0630
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH00005026
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5901095
—
WA
Enumeration date
04/24/2007
Last updated
08/22/2020
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