Organization
FAMILY SMILES OF COCONUT CREEK, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORDAN TOMALTY DDS (OWNER)
(561) 735-9898
Entity
Organization
Contact information
Practice address
6746 N STATE ROAD 7, COCONUT CREEK, FL 33073-4332
(954) 951-5755
Mailing address
6746 N STATE ROAD 7, COCONUT CREEK, FL 33073-4332
(954) 951-5755
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/15/2022
Last updated
08/10/2022
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