Organization
THE MOBILE TOOTH FAIRY P.S.
Active
Other names
Mobile Dental Hygiene Service
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NICOLE LEE FINK RDH (PRESIDENT/OWNER)
(253) 444-7112
Entity
Organization
Contact information
Practice address
6610 89TH STREET CT E, PUYALLUP, WA 98371-6222
(253) 444-7112
Mailing address
6610 89TH STREET CT E, PUYALLUP, WA 98371-6222
(253) 444-7112
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
—
—
261QC1500X
Community Health Clinic/Center
—
—
261QD0000X
Dental Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QP0905X
State or Local Public Health Clinic/Center
—
—
261QV0200X
VA Clinic/Center
—
—
310400000X
Assisted Living Facility
Primary
—
—
3104A0625X
Assisted Living Facility (Mental Illness)
—
—
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
—
—
310500000X
Mental Illness Intermediate Care Facility
—
—
311500000X
Alzheimer Center (Dementia Center)
—
—
311ZA0620X
Adult Care Home Facility
—
—
313M00000X
Nursing Facility/Intermediate Care Facility
—
—
314000000X
Skilled Nursing Facility
—
—
315P00000X
Intellectual Disabilities Intermediate Care Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1447592381
NPI
WA
Enumeration date
07/11/2013
Last updated
07/11/2013
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