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1346764123
TDC LANTANA LLC
LAKE WORTH, FL
NPI
1346764123
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Entity Type
Organization
Authorized Contact
JORDAN TOMALTY
Owner/Dentist
561-777-8980
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
Enumeration Date
2017-08-02
Last Update Date
2022-07-21
Business Address
TDC LANTANA LLC
6346 LANTANA RD SUITE 68
LAKE WORTH, FL 33463
Phone number: 561-439-5100
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Mailing Address
TDC LANTANA LLC
6346 LANTANA RD STE 68
LAKE WORTH, FL 33463-6664
Phone number: 561-439-5100
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