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Organization
TDC OCEAN DENTAL, PLLC
Active
Organization
TDC OCEAN DENTAL, PLLC
Active
Other names
My Dentists of Port St Lucie
Organization subpart
No
Provider details
NPI number
Authorized official
JORDAN TOMALTY DMD (OWNER)
(561) 633-9676
Entity
Organization
Contact information
Practice address
491 SW PORT ST LUCIE BLVD, PORT ST LUCIE, FL 34953-2044
(772) 878-7525
(772) 340-1807
Mailing address
491 SW PORT ST LUCIE BLVD, PORT ST LUCIE, FL 34953-2044
(772) 878-7525
(772) 340-1807
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
01/25/2023
Last updated
01/25/2023
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