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Organization

GD FL TLC DENTAL PLLC

Active
Other names
TLC Dental
Organization subpart
No

Provider details

NPI number
Authorized official
CHAD HENDRICKS LEA HENDRICKS (CREDENTIALING)
(612) 859-0444
Entity
Organization

Contact information

Practice address
1718 SHERIDAN ST, HOLLYWOOD, FL 33020-2275
(954) 926-5888
Mailing address
1718 SHERIDAN ST, HOLLYWOOD, FL 33020-2275
(954) 926-5888

Taxonomy

Speciality
Code
Description
License number
State
1223E0200X
Endodontics
1223G0001X
General Practice Dentistry
Primary
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry

Other

Enumeration date
05/27/2025
Last updated
05/27/2025
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