Organization
TLC DENTAL - ORTHODONTICS, 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 DDS (MANAGING DIRECTOR)
(954) 494-8502
Entity
Organization
Contact information
Practice address
3001 E COMMERCIAL BLVD, FT LAUDERDALE, FL 33308-4311
(954) 491-7100
(954) 771-6434
Mailing address
1001 W CYPRESS CREEK RD STE 300, FT LAUDERDALE, FL 33309-1950
(954) 494-8502
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
08/21/2017
Last updated
08/21/2017
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