TDC PORT ST. LUCIE LLC

PORT ST LUCIE, FL
NPI1003471459
Doing Business AsRIVERGATE DENTAL
Entity TypeOrganization
Authorized ContactSEAN TOMALTY
CEO
561-789-6611
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist, General Practice
Additional Taxonomies1223E0200X Dentist, Endodontics
1223P0300X Dentist, Periodontics
Enumeration Date2019-05-01
Last Update Date2019-05-01
Business Address
TDC PORT ST. LUCIE LLC
1161 SE PORT ST LUCIE BLVD
PORT ST LUCIE, FL 34952-5332
Phone number: 772-335-7766
Mailing Address
TDC PORT ST. LUCIE LLC
8794 W BOYNTON BEACH BLVD STE 110
BOYNTON BEACH, FL 33472-4468
Phone number: 561-777-8980