Organization
TOOTH TALES II LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY PETER CHEN DMD (OWNER)
(954) 236-5273
Entity
Organization
Contact information
Practice address
1474 N UNIVERSITY DR, CORAL SPRINGS, FL 33071-6040
(954) 236-5273
Mailing address
1474 N UNIVERSITY DR, CORAL SPRINGS, FL 33071-6040
(954) 236-5273
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1467598292
OWNER
FL
Enumeration date
12/29/2020
Last updated
12/29/2020
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