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Organization
TDC LAKEVIEW, LLC
Active
Organization
TDC LAKEVIEW, LLC
Active
Parent organization
TOMALTY DENTAL CARE HOLDINGS, LLC
Other names
Lakeview Dental of Coral Springs
Organization subpart
Yes
Provider details
NPI number
Legal business name
TOMALTY DENTAL CARE HOLDINGS, LLC
Authorized official
DR. SEAN TOMALTY DMD (PRESIDENT)
(561) 789-6611
Entity
Organization
Contact information
Practice address
1390 CORAL RIDGE DR, CORAL SPRINGS, FL 33071-5434
(954) 752-7874
Mailing address
8794 W BOYNTON BEACH BLVD STE 110, BOYNTON BEACH, FL 33472-4468
(561) 789-6611
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/17/2018
Last updated
09/17/2018
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