Broadway Dental Care | |
216 Broadway Ave N Rochester MN 55906-3646 | |
(507) 289-5838 | |
Not Available |
Full Name | Broadway Dental Care |
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Speciality | Dentist |
Location | 216 Broadway Ave N, Rochester, Minnesota |
Authorized Official Name and Position | Angela L Loft (ADMIN) |
Authorized Official Contact | 6513033203 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Broadway Dental Care 2210 Broadway Ave N Rochester MN 55906-4009 Ph: (507) 288-7379 | Broadway Dental Care 216 Broadway Ave N Rochester MN 55906-3646 Ph: (507) 289-5838 |
NPI Number | 1427587195 |
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Provider Enumeration Date | 06/07/2017 |
Last Update Date | 06/07/2017 |
Identifier | Type | State | Issuer |
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1427587195 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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122300000X | Dentist | 11394 (Minnesota) | Primary |
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