Organization · Type 2 NPI
Broadway Dental, P.c.
Dental Clinic/Center · Portland, OR
NPI number
1043425697
Active
Practice location
1301 NE Broadway St
Portland, OR 97232-1235
Fax (503) 249-2969
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | D 5439 (OR) |
Dental Clinic/Center: Definition to come...
Another provider at this address
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About NPI 1043425697
Broadway Dental, P.c.'s National Provider Identifier is 1043425697, issued on May 14, 2007. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Portland, OR. The record was last updated on Aug 22, 2020.