Organization
TLC DENTAL 4 KIDS, LLC
Active
Parent organization
DENTAL PRACTICE MANAGEMENT, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
DENTAL PRACTICE MANAGEMENT, LLC
Authorized official
STEVEN MUCKEY (MANAGER)
(954) 650-1122
Entity
Organization
Contact information
Practice address
435 E SHERIDAN ST, DANIA, FL 33004-5502
(954) 414-4633
Mailing address
1001 W CYPRESS CREEK RD STE 300, FORT LAUDERDALE, FL 33309-1950
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
11/01/2021
Last updated
11/01/2021
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