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Organization
TDC BOYNTON BEACH, PLLC
Active
Organization
TDC BOYNTON BEACH, PLLC
Active
Other names
Personal and Compassionate Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
JORDAN TOMALTY D.D.S (OWNER)
(561) 633-9676
Entity
Organization
Contact information
Practice address
4895 WINDWARD PASSAGE DR STE 12, BOYNTON BEACH, FL 33436-7741
(561) 526-2777
Mailing address
4895 WINDWARD PASSAGE DR STE 12, BOYNTON BEACH, FL 33436-7741
(561) 526-2777
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/19/2023
Last updated
09/19/2023
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