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Organization
DENTAL BLISS P.A.
Active
Organization
DENTAL BLISS P.A.
Active
Other names
Angelic Smiles Dental Spa
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TOSHA RENAE WILLIAMS DDS (GENERAL DENTIST/OWNER)
(954) 534-9651
Entity
Organization
Contact information
Practice address
9990 NW 6TH CT, BAY 16, PEMBROKE PINES, FL 33024-6157
(954) 534-9651
(954) 639-7835
Mailing address
9990 NW 6TH CT, BAY 16, PEMBROKE PINES, FL 33024-6157
(954) 534-9651
(954) 639-7835
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN19661
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08124200
—
FL
Enumeration date
03/23/2017
Last updated
03/23/2017
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