Organization
TDC DELRAY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORDAN S TOMALTY D.M.D (OWNER/DENTIST)
(561) 777-8980
Entity
Organization
Contact information
Practice address
7901 ATLANTIC AVE, SUITE 102, DELRAY BEACH, FL 33446
(561) 403-0703
Mailing address
7901 ATLANTIC AVE, SUITE 102, DELRAY BEACH, FL 33446
(561) 403-0703
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/28/2016
Last updated
08/28/2016
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