Organization
TLC DENTAL 4 KIDS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN MUCKEY DDS (MANAGING DIRECTOR)
(954) 494-8502
Entity
Organization
Contact information
Practice address
3001 E COMMERCIAL BLVD, FORT LAUDERDALE, FL 33308-4311
(954) 491-7100
Mailing address
1001 W CYPRESS CREEK RD STE 300, FT LAUDERDALE, FL 33309-1950
(954) 494-8502
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
09/06/2018
Last updated
03/25/2019
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