Organization
TOOTHFAIRY INDUSTRIES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SARA CHRISTINE VAN ARSDALL DMD (MANAGER)
(480) 305-4071
Entity
Organization
Contact information
Practice address
2301 COIT RD STE A, PLANO, TX 75075-3773
(972) 758-8777
Mailing address
2301 COIT RD STE A, PLANO, TX 75075-3773
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
—
1223P0221X
Pediatric Dentistry
Primary
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Enumeration date
02/13/2024
Last updated
02/13/2024
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