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Contact Information

TDC DELRAY LLC
7901 ATLANTIC AVE
SUITE 102
DELRAY BEACH, FL33446
 Phone: 561-403-0703
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dental

261QD0000X
Indicates primary specialty

NPI Profile & details for TDC DELRAY LLC

NPI Number 1104372432
LBN Legal business name TDC DELRAY LLC
Authorized official JORDAN TOMALTY - (OWNER/DENTIST)
Entity Organization
Organization subpart 1 No
Enumeration date 08/28/2016
Last updated 08/28/2016 - About 10 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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