| Tdc Canyon LLC | |
|
8794 W Boynton Beach Blvd Suite 110 Boynton Beach FL 33472-4468 | |
| (561) 777-8980 | |
| (561) 777-8608 |
| Full Name | Tdc Canyon LLC |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 8794 W Boynton Beach Blvd, Boynton Beach, Florida |
| Authorized Official Name and Position | Sean Tomalty (DENTIST/OWNER) |
| Authorized Official Contact | 5617778980 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tdc Canyon LLC 8794 W Boynton Beach Blvd Suite 110 Boynton Beach FL 33472-4468 Ph: (561) 777-8980 | Tdc Canyon LLC 8794 W Boynton Beach Blvd Suite 110 Boynton Beach FL 33472-4468 Ph: (561) 777-8980 |
| NPI Number | 1053786038 |
|---|---|
| Provider Enumeration Date | 12/02/2015 |
| Last Update Date | 12/02/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053786038 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (Florida) | Primary |
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