Most Relevant Information
Provider Data
| NPI Number: | 1003061300 |
| Provider Name: | TONGELA LATARSHA WILLIAMS |
| Entity Type: | Individual |
| Taxonomy Code: | 1223G0001X |
| Specialty: | Dentist |
| License Number: | 13680 |
Most Important Dates
| Enumeration Date: | 12/01/2008 |
| Last Updated: | 12/01/2008 |
Provider Practice Location
83 HIGH STREET
SUITE A
WALDORF
MD
20602
Practice Location Phone/Fax
| Phone: | 3016453501 |
| Fax: | 3017055396 |
Provider Mailing Location
7622 OAKPOST CT
UPPER MARLBORO
MD
20772
Provider Mailing Phone/Fax
| Phone: | 3018560079 |
| Fax: |