Organization
AUTUMN BLISS LLC
Active
Other names
Greenbelt dental care
Organization subpart
No
Provider details
NPI number
Authorized official
NATOYA ROSEMARIE REID DMD (OWNER)
(502) 298-3452
Entity
Organization
Contact information
Practice address
7525 GREENWAY CENTER DR STE 201, GREENBELT, MD 20770-3525
(502) 298-3452
Mailing address
7525 GREENWAY CENTER DR STE 201, GREENBELT, MD 20770-3525
(502) 298-3452
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
Other
Enumeration date
05/14/2024
Last updated
05/14/2024
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