Organization · Type 2 NPI
Broadway Dentist LLC
Dental Clinic/Center · Everett, MA
NPI number
1235381302
Active
Practice location
609 Broadway
Everett, MA 02149-3712
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | 21366 (MA) |
Dental Clinic/Center: Definition to come...
Another provider at this address
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About NPI 1235381302
Broadway Dentist LLC's National Provider Identifier is 1235381302, issued on Oct 21, 2008. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Everett, MA. The record was last updated on Oct 21, 2008.