| Tdc Boynton Beach, Pllc | |
|
4895 Windward Passage Dr Ste 12 Boynton Beach FL 33436-7741 | |
| (561) 526-2777 | |
| Not Available |
| Full Name | Tdc Boynton Beach, Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 4895 Windward Passage Dr Ste 12, Boynton Beach, Florida |
| Authorized Official Name and Position | Jordan Tomalty (OWNER) |
| Authorized Official Contact | 5616339676 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tdc Boynton Beach, Pllc 4895 Windward Passage Dr Ste 12 Boynton Beach FL 33436-7741 Ph: (561) 526-2777 | Tdc Boynton Beach, Pllc 4895 Windward Passage Dr Ste 12 Boynton Beach FL 33436-7741 Ph: (561) 526-2777 |
| NPI Number | 1316725419 |
|---|---|
| Provider Enumeration Date | 09/19/2023 |
| Last Update Date | 09/19/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316725419 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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