Organization
TDC ROYAL PALM LLC
Active
Other names
Madison Green Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SEAN TOMALTY (PRESIDENT)
(561) 789-6611
Entity
Organization
Contact information
Practice address
10229 OKEECHOBEE BLVD, ROYAL PALM BEACH, FL 33411-1403
(561) 379-1311
Mailing address
10229 OKEECHOBEE BLVD, ROYAL PALM BEACH, FL 33411-1403
(561) 379-1311
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/12/2018
Last updated
10/12/2018
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