Tdc Port St. Lucie Llc | |
1161 Se Port St Lucie Blvd Port St Lucie FL 34952-5332 | |
(772) 335-7766 | |
Not Available |
Full Name | Tdc Port St. Lucie Llc |
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Speciality | Dentist - General Practice |
Location | 1161 Se Port St Lucie Blvd, Port St Lucie, Florida |
Authorized Official Name and Position | Sean Tomalty (CEO) |
Authorized Official Contact | 5617896611 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Tdc Port St. Lucie Llc 8794 W Boynton Beach Blvd Ste 110 Boynton Beach FL 33472-4468 Ph: (561) 777-8980 | Tdc Port St. Lucie Llc 1161 Se Port St Lucie Blvd Port St Lucie FL 34952-5332 Ph: (772) 335-7766 |
NPI Number | 1003471459 |
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Provider Enumeration Date | 05/01/2019 |
Last Update Date | 05/01/2019 |
Identifier | Type | State | Issuer |
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1003471459 | NPI | - | NPPES |
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