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Organization

MY DENTIST OF WEST LAKE WORTH, PLLC

Active
Other names
My Dentist of West Lake Worth
Organization subpart
No

Provider details

NPI number
Authorized official
JORDAN TOMALTY DMD (CEO)
(561) 633-9676
Entity
Organization

Contact information

Practice address
8487 LAKE WORTH RD, SUITE 100, WELLINGTON, FL 33467
(561) 275-5042
(561) 257-3883
Mailing address
8487 LAKE WORTH RD, SUITE 100, WELLINGTON, FL 33467
(561) 275-5042
(561) 257-3883

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
08/28/2024
Last updated
08/28/2024
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