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Organization

TINY TEETH, PC

Active
Other names
Sunny Hills Pediatric Dentistry and Orthodontics
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JAMIE L FAIRCHILD DMD (OWNER)
(208) 690-0366
Entity
Organization

Contact information

Practice address
11149 RESEARCH BLVD, SUITE 270, AUSTIN, TX 78759-5279
(512) 346-1221
Mailing address
11149 RESEARCH BLVD, SUITE 270, AUSTIN, TX 78759-5279

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
28629
TX

Other

Enumeration date
04/10/2013
Last updated
04/10/2013
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