| Broadway Dental | |
|
48 E Kingsbridge Rd Bronx NY 10468-7514 | |
| (718) 933-9603 | |
| Not Available |
| Full Name | Broadway Dental |
|---|---|
| Speciality | Dentist |
| Location | 48 E Kingsbridge Rd, Bronx, New York |
| Authorized Official Name and Position | Jack Brown (DENTIST) |
| Authorized Official Contact | 5166430424 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Broadway Dental 48 E Kingsbridge Rd Bronx NY 10468-7514 Ph: (718) 933-9603 | Broadway Dental 48 E Kingsbridge Rd Bronx NY 10468-7514 Ph: (718) 933-9603 |
| NPI Number | 1568843290 |
|---|---|
| Provider Enumeration Date | 06/18/2015 |
| Last Update Date | 06/18/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568843290 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 054002 (New York) | Primary |
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