Provider Demographics
NPI:1679123012
Name:SWEET TOOTH PEDIATRIC DENTISTRY CORP
Entity Type:Organization
Organization Name:SWEET TOOTH PEDIATRIC DENTISTRY CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:ERIN
Authorized Official - Middle Name:S
Authorized Official - Last Name:ARROYO
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:925-216-5652
Mailing Address - Street 1:1040 WESTON RD STE 300
Mailing Address - Street 2:
Mailing Address - City:WESTON
Mailing Address - State:FL
Mailing Address - Zip Code:33326-1912
Mailing Address - Country:US
Mailing Address - Phone:954-384-8888
Mailing Address - Fax:954-384-9434
Practice Address - Street 1:1040 WESTON RD STE 300
Practice Address - Street 2:
Practice Address - City:WESTON
Practice Address - State:FL
Practice Address - Zip Code:33326-1912
Practice Address - Country:US
Practice Address - Phone:954-384-8888
Practice Address - Fax:954-384-9434
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-18
Last Update Date:2021-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty