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Organization
TDC BOCA RATON, LLC
Active
Organization
TDC BOCA RATON, LLC
Active
Other names
Boca Raton Modern Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SEAN TOMALTY DMD (OWNER)
(561) 777-8980
Entity
Organization
Contact information
Practice address
9878 CLINT MOORE RD STE 200, BOCA RATON, FL 33496-1037
(561) 852-7773
(561) 483-5737
Mailing address
8794 W BOYNTON BEACH BLVD STE 110, BOYNTON BEACH, FL 33472-4468
(561) 777-8980
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
09/09/2019
Last updated
10/08/2019
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