Organization
TLC DENTAL - ORAL SURGERY, PLLC
Active
Parent organization
DENTAL PRACTICE MANAGEMENT, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
DENTAL PRACTICE MANAGEMENT, LLC
Authorized official
LAURI STEIN (CREDENTIALING DEPT.)
(954) 994-0892
Entity
Organization
Contact information
Practice address
3001 E COMMERCIAL BLVD, FT LAUDERDALE, FL 33308-4311
(954) 491-7100
Mailing address
1001 W CYPRESS CREEK RD STE 300, FORT LAUDERDALE, FL 33309-1950
(954) 720-5511
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
12/11/2017
Last updated
12/11/2017
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