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Organization

BLESSING AESTHETICS, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. TRACY SHAW BLESSING DMD (OWNER)
(561) 775-1898
Entity
Organization

Contact information

Practice address
11211 PROSPERITY FARMS RD STE D123, PALM BEACH GARDENS, FL 33410-3476
(561) 775-1898
Mailing address
11211 PROSPERITY FARMS RD STE D123, PALM BEACH GARDENS, FL 33410-3476
(561) 775-1898

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1184768566
NPI
FL
01
1316280928
NPI
FL
Enumeration date
08/17/2022
Last updated
08/17/2022
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