Organization
TDC OF WEST CAPE CORAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORDAN TOMALTY (OWNER)
(561) 633-9676
Entity
Organization
Contact information
Practice address
2534 SE SANTA BARBARA PL STE 202, CAPE CORAL, FL 33904-2709
(239) 800-3332
Mailing address
2534 SE SANTA BARBARA PL STE 202, CAPE CORAL, FL 33904-2709
(239) 800-3332
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/29/2025
Last updated
09/29/2025
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