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Organization
TDC CAPE CORAL, PLLC
Active
Organization
TDC CAPE CORAL, PLLC
Active
Other names
Modern Dentists of Cape Coral
Organization subpart
No
Provider details
NPI number
Authorized official
JORDAN TOMALTY DMD (OWNER)
(561) 633-9676
Entity
Organization
Contact information
Practice address
2060 NE ISLAND RD STE. 300, CAPE CORAL, FL 33909
(561) 801-4233
Mailing address
2060 NE ISLAND RD STE. 300, CAPE CORAL, FL 33909
(561) 801-4233
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/05/2023
Last updated
09/05/2023
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