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1952832313
TDC PORT ST.LUCIE LLC
PORT ST LUCIE, FL
NPI
1952832313
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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
2017-03-27
Last Update Date
2017-03-27
Business Address
TDC PORT ST.LUCIE LLC
1385 SW GATLIN BLVD
PORT ST LUCIE, FL 34953-4102
Phone number: 561-777-8980
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Mailing Address
TDC PORT ST.LUCIE LLC
1385 SW GATLIN BLVD
PORT ST LUCIE, FL 34953-4102
Phone number:
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