| Angelic Smiles Dental Spa | |
|
9990 Nw 6th Ct Bay 16 Pembroke Pines FL 33024-6157 | |
| (954) 534-9651 | |
| (954) 639-7835 |
| Full Name | Angelic Smiles Dental Spa |
|---|---|
| Speciality | Dentist |
| Location | 9990 Nw 6th Ct, Pembroke Pines, Florida |
| Authorized Official Name and Position | Tosha Renae Williams (GENERAL DENTIST/OWNER) |
| Authorized Official Contact | 9545349651 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Angelic Smiles Dental Spa 9990 Nw 6th Ct Bay 16 Pembroke Pines FL 33024-6157 Ph: (954) 534-9651 | Angelic Smiles Dental Spa 9990 Nw 6th Ct Bay 16 Pembroke Pines FL 33024-6157 Ph: (954) 534-9651 |
| NPI Number | 1841721610 |
|---|---|
| Provider Enumeration Date | 03/23/2017 |
| Last Update Date | 03/23/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841721610 | NPI | - | NPPES |
| 08124200 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DN19661 (Florida) | Primary |
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