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Organization
TDC PALM CITY LLC
Active
Organization
TDC PALM CITY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SEAN TOMALTY DMD (CEO)
(561) 789-6611
Entity
Organization
Contact information
Practice address
2688 SW IMMANUEL DR, PALM CITY, FL 34990-2738
(772) 286-8600
Mailing address
8794 W BOYNTON BEACH BLVD STE 110, BOYNTON BEACH, FL 33472-4468
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223E0200X
Endodontics
—
—
1223G0001X
General Practice Dentistry
Primary
—
—
1223P0300X
Periodontics
—
—
Other
Enumeration date
05/01/2019
Last updated
05/01/2019
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