Organization · Type 2 NPI
Broadway Dental PC
Dental Clinic/Center · Bangor, ME
NPI number
1063134708
Active
Practice location
743 Broadway
Bangor, ME 04401-3225
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
3 other providers at this address
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About NPI 1063134708
Broadway Dental PC's National Provider Identifier is 1063134708, issued on Sep 19, 2022. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Bangor, ME. The record was last updated on Sep 19, 2022.