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Organization
TDC OAKLAND PARK
Active
Organization
TDC OAKLAND PARK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORDAN TOMALTY DMD (OWNER)
(561) 633-9676
Entity
Organization
Contact information
Practice address
3047 N FEDERAL HWY, FORT LAUDERDALE, FL 33306-1403
(561) 633-9676
Mailing address
951 W YAMATO RD STE 106, BOCA RATON, FL 33431-4437
(561) 633-9676
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
04/24/2024
Last updated
04/24/2024
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