Organization
SUCHETA AMANJEE DDS INC
Active
Other names
TOOTH FAIRY DENTAL CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
SUCHETA AMANJEE DDS (OWNER)
(707) 450-1002
Entity
Organization
Contact information
Practice address
141 PARKER ST STE B, VACAVILLE, CA 95688-3921
(707) 450-1002
Mailing address
141 PARKER ST STE B, VACAVILLE, CA 95688-3921
(707) 450-1002
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
53573
CA
Other
Enumeration date
07/01/2013
Last updated
07/02/2013
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