| NPI | 1326754128 |
|---|---|
| Doing Business As | MY DENTISTS OF PORT ST LUCIE |
| Entity Type | Organization |
| Authorized Contact | JORDAN TOMALTY Owner 561-633-9676 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2023-01-25 |
| Last Update Date | 2023-01-25 |