Td Dental Group LLC
NPI #1063022051 in Bonita Springs, Florida
Provider Information
- NPI Number
- 1063022051
- Entity Type
- Organization
- Organization Name
- Td Dental Group LLC
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Aug 4, 2020
- Last Updated
- Aug 4, 2020
Practice Location
- Address
- 28410 CROSSING BLVD
- Address 2
- SUIT 230
- City
- Bonita Springs
- State
- Florida
- ZIP Code
- 34135
- Phone
- (239) 317-8333
Authorized Official
- Name
- DIANELIS BLANCO, DMD
- Title
- PRESIDENT
- Phone
- (239) 317-8333
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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