| Broadway Dental & Braces Pllc | |
|
12039 Antoine Dr Ste 110 Houston TX 77066-4457 | |
| (281) 796-6350 | |
| Not Available |
| Full Name | Broadway Dental & Braces Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 12039 Antoine Dr Ste 110, Houston, Texas |
| Authorized Official Name and Position | Nazlie Taheri (DENTIST) |
| Authorized Official Contact | 2817966350 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Broadway Dental & Braces Pllc 2724 Kipling Street Apt 734 Houston TX 77098 Ph: () - | Broadway Dental & Braces Pllc 12039 Antoine Dr Ste 110 Houston TX 77066-4457 Ph: (281) 796-6350 |
| NPI Number | 1508688987 |
|---|---|
| Provider Enumeration Date | 10/28/2024 |
| Last Update Date | 10/28/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508688987 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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