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Organization
MY DENTIST OF WEST LAKE WORTH, PLLC
Active
Organization
MY DENTIST OF WEST LAKE WORTH, PLLC
Active
Other names
My Dentist of West Lake Worth
Organization subpart
No
Provider details
NPI number
Authorized official
JORDAN TOMALTY DMD (CEO)
(561) 633-9676
Entity
Organization
Contact information
Practice address
8487 LAKE WORTH RD, SUITE 100, WELLINGTON, FL 33467
(561) 275-5042
(561) 257-3883
Mailing address
8487 LAKE WORTH RD, SUITE 100, WELLINGTON, FL 33467
(561) 275-5042
(561) 257-3883
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/28/2024
Last updated
08/28/2024
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