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Organization
TDC ROYAL PALM LLC
Active
Organization
TDC ROYAL PALM LLC
Active
Other names
Madison Green Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SEAN TOMALTY (PRESIDENT)
(561) 789-6611
Entity
Organization
Contact information
Practice address
10229 OKEECHOBEE BLVD, ROYAL PALM BEACH, FL 33411-1403
(561) 379-1311
Mailing address
10229 OKEECHOBEE BLVD, ROYAL PALM BEACH, FL 33411-1403
(561) 379-1311
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/12/2018
Last updated
10/12/2018
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