Organization
GD FL TLC HOLLYWOOD PLLC
Active
Other names
TLC Dental Hollywood
Organization subpart
No
Provider details
NPI number
Authorized official
CHAD HENDRICKS (CREDENTIALING)
(612) 859-0444
Entity
Organization
Contact information
Practice address
1718 SHERIDAN ST, HOLLYWOOD, FL 33020-2275
(954) 926-5888
Mailing address
1718 SHERIDAN ST, HOLLYWOOD, FL 33020-2275
(954) 926-5888
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/11/2024
Last updated
11/11/2024
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