Organization
TOOTH TALES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY P CHEN (OWNER/DENTIST)
(954) 236-5273
Entity
Organization
Contact information
Practice address
12741 MIRAMAR PARKWAY, SUITE 203, MIRAMAR, FL 33027
(954) 236-5273
(954) 653-2967
Mailing address
12741 MIRAMAR PKWY, SUITE 203, MIRAMAR, FL 33027-2903
(954) 236-5273
(954) 653-2967
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DN16682
FL
1223P0221X
Pediatric Dentistry
DN91444
FL
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
DN15943
FL
Other
Enumeration date
06/30/2015
Last updated
06/30/2015
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