MEDICARE: DR TOOTH INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	0026058	TX
2	122300000X	Dentist	0026310	TX

General Provider Information

NPI Number	:	1356640072
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DR TOOTH INC

Provider Business Mailing Address
First Line	:	9055 BRIAR FOREST DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77024-7220
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	9055 BRIAR FOREST DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77024-7220
Country	:	US
Telephone Number	:	253-335-5699
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. TARNJEET SAHOTA
Credential	:	DMD
Telephone Number	:	253-335-5699

Provider Enumeration Date	:	03/21/2011
Last Update Date	:	03/21/2011

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Directions to “DR TOOTH INC ” Practice Location

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