| Broadway Dental Of Pearland | |
|
11930 Broadway St # 130 Pearland TX 77584-8448 | |
| (281) 857-6321 | |
| (281) 857-6322 |
| Full Name | Broadway Dental Of Pearland |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 11930 Broadway St # 130, Pearland, Texas |
| Authorized Official Name and Position | Andrew Allouch (DIRECTOR) |
| Authorized Official Contact | 2818576321 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Broadway Dental Of Pearland 11930 Broadway St Ste 130 Pearland TX 77584-8448 Ph: (281) 857-6321 | Broadway Dental Of Pearland 11930 Broadway St # 130 Pearland TX 77584-8448 Ph: (281) 857-6321 |
| NPI Number | 1194490847 |
|---|---|
| Provider Enumeration Date | 08/13/2021 |
| Last Update Date | 07/18/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194490847 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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