Organization
CMT DENTAL PA
Active
Other names
Lighthouse Dental of Tequesta
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CASSANDRA MADISON DUNN-TACKETT DMD (OWNER/DENTIST)
(561) 745-1174
Entity
Organization
Contact information
Practice address
542 N US HIGHWAY 1, TEQUESTA, FL 33469-2372
(561) 745-1174
(561) 744-9713
Mailing address
542 N US HIGHWAY 1, TEQUESTA, FL 33469-2372
(561) 745-1174
(561) 744-9713
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/02/2022
Last updated
09/02/2022
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