Organization
TOOTHFAIRY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATHLEEN V. MULLEN D.M.D. (OWNER)
(215) 699-0650
Entity
Organization
Contact information
Practice address
118 DICKERSON RD, SUITE D, NORTH WALES, PA 19454-2538
(215) 699-0650
(215) 699-9599
Mailing address
118 DICKERSON RD, SUITE D, NORTH WALES, PA 19454-2538
(215) 699-0650
(215) 699-9599
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DS025133L
PA
Other
Enumeration date
02/08/2007
Last updated
08/22/2020
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