| Tooth Angels Pllc | |
|
9040 Dyer St Suite 102 El Paso TX 79904-1406 | |
| (915) 500-3643 | |
| (915) 500-3644 |
| Full Name | Tooth Angels Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 9040 Dyer St, El Paso, Texas |
| Authorized Official Name and Position | Shenice Lacheer Williams (OWNER/GENERAL DENTIST) |
| Authorized Official Contact | 9155003643 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tooth Angels Pllc 9040 Dyer St Suite 102 El Paso TX 79904-1406 Ph: (915) 500-3643 | Tooth Angels Pllc 9040 Dyer St Suite 102 El Paso TX 79904-1406 Ph: (915) 500-3643 |
| NPI Number | 1093066540 |
|---|---|
| Provider Enumeration Date | 09/24/2012 |
| Last Update Date | 09/24/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093066540 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 25889 (Texas) | Primary |
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