Organization
TDC FOUNTAINS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SEAN TOMALTY DMD (DENTIST/OWNER)
(561) 735-9898
Entity
Organization
Contact information
Practice address
6617 W BOYNTON BEACH BLVD, BOYNTON BEACH, FL 33437-3526
(561) 735-9898
(561) 735-9877
Mailing address
6617 W BOYNTON BEACH BLVD, BOYNTON BEACH, FL 33437-3526
(561) 735-9898
(561) 735-9877
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
11/24/2015
Last updated
12/02/2015
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