NPI 1306227855 · live from the CMS NPI Registry
A Tooth Fairy'S Place
Dentist in Brownsville, TX. National Provider Identifier 1306227855, active.
NPI record
| NPI | 1306227855 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist 122300000X |
| Practice location | 1725 Central Blvd, Brownsville, TX 78520 |
| Practice phone | 956-541-3624 |
| Enumerated | June 10, 2015 |
| Last updated | June 10, 2015 |
| Authorized official | Sandra Olivaes-Garcia, Dentist |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist primary | 122300000X | 30954 (TX) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.