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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