| Tdc Lakeview, Llc | |
|
1390 Coral Ridge Dr Coral Springs FL 33071-5434 | |
| (954) 752-7874 | |
| Not Available |
| Full Name | Tdc Lakeview, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1390 Coral Ridge Dr, Coral Springs, Florida |
| Authorized Official Name and Position | Sean Tomalty (PRESIDENT) |
| Authorized Official Contact | 5617896611 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tdc Lakeview, Llc 8794 W Boynton Beach Blvd Ste 110 Boynton Beach FL 33472-4468 Ph: (561) 789-6611 | Tdc Lakeview, Llc 1390 Coral Ridge Dr Coral Springs FL 33071-5434 Ph: (954) 752-7874 |
| NPI Number | 1518441591 |
|---|---|
| Provider Enumeration Date | 09/17/2018 |
| Last Update Date | 09/17/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518441591 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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