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Organization
LDT DENTAL LLC
Active
Organization
LDT DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAUREN TUCKMAN DMD (OWNER/GENERAL DENTIST)
(561) 212-6362
Entity
Organization
Contact information
Practice address
168 SE 1ST ST STE 1B, MIAMI, FL 33131-1403
(305) 372-1020
Mailing address
1635 DAYTONIA RD, MIAMI BEACH, FL 33141-1732
(561) 212-6362
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
12/04/2024
Last updated
12/04/2024
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