Organization
THE TRAVELING TOOTH FAIRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEANNE BRYANT (GENERAL MANAGER)
(630) 738-1019
Entity
Organization
Contact information
Practice address
1212 S. NAPER BLVD., STE. #119/177, NAPERVILLE, IL 60540
(312) 391-3385
Mailing address
1212 S. NAPER BLVD., STE. #119/177, NAPERVILLE, IL 60540
(630) 738-1019
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Enumeration date
08/12/2024
Last updated
08/12/2024
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