NPI | 1285468629 |
---|---|
Doing Business As | MY DENTIST OF WEST LAKE WORTH |
Entity Type | Organization |
Authorized Contact | JORDAN TOMALTY CEO 561-633-9676 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2024-08-28 |
Last Update Date | 2024-08-28 |