Tlc Dental-Tamarac, LLC

NPI #1003252164 in Tamarac, Florida

Provider Information

NPI Number: 1003252164
Entity Type: Organization
Organization Name: Tlc Dental-Tamarac, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: DENTAL PRACTICE MANAGEMENT, LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: May 16, 2013
Last Updated: Sep 6, 2016

Practice Location

Address: 6702 N UNIVERSITY DR
City: Tamarac
State: Florida
ZIP Code: 33321-4013
Phone: (954) 722-7711

Authorized Official

Name: DR. STEVEN D MUCKEY, D.D.S.
Title: CEO
Phone: (954) 650-1122

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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