| Tlc Dental - North Lauderdale, Llc | |
|
7110 Southgate Blvd North Lauderdale FL 33068 | |
| (954) 724-8949 | |
| (954) 724-1185 |
| Full Name | Tlc Dental - North Lauderdale, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 7110 Southgate Blvd, North Lauderdale, Florida |
| Authorized Official Name and Position | Steven D Muckey (OWNER) |
| Authorized Official Contact | 9546501122 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tlc Dental - North Lauderdale, Llc 15 Saranac Rd Sea Ranch Lakes FL 33308-2910 Ph: (954) 650-1122 | Tlc Dental - North Lauderdale, Llc 7110 Southgate Blvd North Lauderdale FL 33068 Ph: (954) 724-8949 |
| NPI Number | 1649302894 |
|---|---|
| Provider Enumeration Date | 03/12/2007 |
| Last Update Date | 09/06/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649302894 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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