Organization
TDC OCEAN DENTAL, PLLC
Active
Other names
My Dentists of Port St Lucie
Organization subpart
No
Provider details
NPI number
Authorized official
JORDAN TOMALTY DMD (OWNER)
(561) 633-9676
Entity
Organization
Contact information
Practice address
491 SW PORT ST LUCIE BLVD, PORT ST LUCIE, FL 34953-2044
(772) 878-7525
(772) 340-1807
Mailing address
491 SW PORT ST LUCIE BLVD, PORT ST LUCIE, FL 34953-2044
(772) 878-7525
(772) 340-1807
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
01/25/2023
Last updated
01/25/2023
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