Organization
TRAVELING TOOTH FAIRIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MYRA NIKITAS RDH (EXECUTIVE DIRECTOR)
(603) 566-4294
Entity
Organization
Contact information
Practice address
141 LEDGE ST, NASHUA, NH 03060-3073
(603) 566-4294
Mailing address
19 ROYAL OAK DR, NASHUA, NH 03064-1660
(603) 533-4294
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
07/26/2024
Last updated
07/26/2024
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