Tdc Canyon LLC
Clinic/Center, Dental in Boynton Beach, FL. Organization (NPI-2).
NPI number1053786038
StatusActive
Last updated in NPPESDec 2, 2015
Details
- NPI
- 1053786038
- Entity type
- Organization (NPI-2)
- Legal business name
- Tdc Canyon LLC
- Organization subpart
- No
- Enumeration date
- Dec 2, 2015
- Last updated
- Dec 2, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD0000X | Clinic/Center, Dental | – | FL | Yes |
Practice location
8794 W Boynton Beach BlvdSuite 110
Boynton Beach, FL 33472-4468
Phone 561-777-8980 · Fax 561-777-8608
Mailing address
8794 W Boynton Beach BlvdSuite 110
Boynton Beach, FL 33472-4468
Phone 561-777-8980 · Fax 561-777-8608
Authorized official
Sean Tomalty
Dentist/Owner
5617778980
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