Organization
SUCHETA AMANJEE DDS INC
Active
Other names
TOOTH FAIRY DENTAL CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
SUCHETA S AMANJEE DDS (PRESIDENT/OWNER)
(916) 780-7890
Entity
Organization
Contact information
Practice address
790 ATLANTIC ST, ROSEVILLE, CA 95678-1806
(916) 780-7890
(916) 780-5733
Mailing address
790 ATLANTIC ST, ROSEVILLE, CA 95678-1806
(916) 780-7890
(916) 780-5733
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Enumeration date
02/01/2012
Last updated
08/23/2019
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