| Broadway Dental | |
|
208 E. Broadway Montesano WA 98563 | |
| (360) 249-3151 | |
| (360) 249-5129 |
| Full Name | Broadway Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 208 E. Broadway, Montesano, Washington |
| Authorized Official Name and Position | Lance James Gunter (DENTIST) |
| Authorized Official Contact | 3602493151 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Broadway Dental 208 E. Broadway Montesano WA 98563 Ph: (360) 249-3151 | Broadway Dental 208 E. Broadway Montesano WA 98563 Ph: (360) 249-3151 |
| NPI Number | 1811403751 |
|---|---|
| Provider Enumeration Date | 12/14/2017 |
| Last Update Date | 12/14/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811403751 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DE60663731 (Washington) | Primary |
Broadway Dental Center Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 208 E Broadway Ave, Montesano, WA 98563 Phone: 360-249-3151 Fax: 360-249-5129 |