| Tdc Lantana Llc | |
|
6346 Lantana Rd Suite 68 Lake Worth FL 33463 | |
| (561) 439-5100 | |
| (561) 439-5100 |
| Full Name | Tdc Lantana Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 6346 Lantana Rd Suite 68, Lake Worth, Florida |
| Authorized Official Name and Position | Jordan Tomalty (OWNER/DENTIST) |
| Authorized Official Contact | 5617778980 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tdc Lantana Llc 6346 Lantana Rd Ste 68 Lake Worth FL 33463-6664 Ph: (561) 439-5100 | Tdc Lantana Llc 6346 Lantana Rd Suite 68 Lake Worth FL 33463 Ph: (561) 439-5100 |
| NPI Number | 1346764123 |
|---|---|
| Provider Enumeration Date | 08/02/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346764123 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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