| Tdc Fountains Llc | |
|
6617 W Boynton Beach Blvd Boynton Beach FL 33437-3526 | |
| (561) 735-9898 | |
| (561) 735-9877 |
| Full Name | Tdc Fountains Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 6617 W Boynton Beach Blvd, Boynton Beach, Florida |
| Authorized Official Name and Position | Sean Tomalty (DENTIST/OWNER) |
| Authorized Official Contact | 5617359898 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tdc Fountains Llc 6617 W Boynton Beach Blvd Boynton Beach FL 33437-3526 Ph: (561) 735-9898 | Tdc Fountains Llc 6617 W Boynton Beach Blvd Boynton Beach FL 33437-3526 Ph: (561) 735-9898 |
| NPI Number | 1407220726 |
|---|---|
| Provider Enumeration Date | 11/24/2015 |
| Last Update Date | 12/02/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407220726 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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