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Organization
FAMILY SMILES OF COCONUT CREEK, PLLC
Active
Organization
FAMILY SMILES OF COCONUT CREEK, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORDAN TOMALTY DDS (OWNER)
(561) 735-9898
Entity
Organization
Contact information
Practice address
6746 N STATE ROAD 7, COCONUT CREEK, FL 33073-4332
(954) 951-5755
Mailing address
6746 N STATE ROAD 7, COCONUT CREEK, FL 33073-4332
(954) 951-5755
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/15/2022
Last updated
08/10/2022
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