Organization
TDC BOYNTON BEACH, PLLC
Active
Other names
Personal and Compassionate Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
JORDAN TOMALTY D.D.S (OWNER)
(561) 633-9676
Entity
Organization
Contact information
Practice address
4895 WINDWARD PASSAGE DR STE 12, BOYNTON BEACH, FL 33436-7741
(561) 526-2777
Mailing address
4895 WINDWARD PASSAGE DR STE 12, BOYNTON BEACH, FL 33436-7741
(561) 526-2777
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/19/2023
Last updated
09/19/2023
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