| Tdc Port St. Lucie Llc | |
|
1161 Se Port St Lucie Blvd Port St Lucie FL 34952-5332 | |
| (772) 335-7766 | |
| Not Available |
| Full Name | Tdc Port St. Lucie Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1161 Se Port St Lucie Blvd, Port St Lucie, Florida |
| Authorized Official Name and Position | Sean Tomalty (CEO) |
| Authorized Official Contact | 5617896611 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tdc Port St. Lucie Llc 8794 W Boynton Beach Blvd Ste 110 Boynton Beach FL 33472-4468 Ph: (561) 777-8980 | Tdc Port St. Lucie Llc 1161 Se Port St Lucie Blvd Port St Lucie FL 34952-5332 Ph: (772) 335-7766 |
| NPI Number | 1003471459 |
|---|---|
| Provider Enumeration Date | 05/01/2019 |
| Last Update Date | 05/01/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003471459 | NPI | - | NPPES |
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