Broadway Dental Group Pllc | |
7410 Broadway Elmhurst NY 11373-5609 | |
(516) 476-4509 | |
Not Available |
Full Name | Broadway Dental Group Pllc |
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Speciality | Dentist - General Practice |
Location | 7410 Broadway, Elmhurst, New York |
Authorized Official Name and Position | Farajollah Soleimanzadeh (PRESIDENT) |
Authorized Official Contact | 5164764509 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Broadway Dental Group Pllc 15 Woodfield Ln Glen Head NY 11545-2242 Ph: (516) 476-4509 | Broadway Dental Group Pllc 7410 Broadway Elmhurst NY 11373-5609 Ph: (516) 476-4509 |
NPI Number | 1740901867 |
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Provider Enumeration Date | 09/07/2022 |
Last Update Date | 09/07/2022 |
Identifier | Type | State | Issuer |
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1740901867 | NPI | - | NPPES |
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