| Broadway Dental | |
|
144 Broadway Revere MA 02151-5349 | |
| (781) 284-2275 | |
| Not Available |
| Full Name | Broadway Dental |
|---|---|
| Speciality | Dentist |
| Location | 144 Broadway, Revere, Massachusetts |
| Authorized Official Name and Position | Eugene Bark (DENTIST) |
| Authorized Official Contact | 7812842275 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Broadway Dental 144 Broadway Revere MA 02151-5349 Ph: () - | Broadway Dental 144 Broadway Revere MA 02151-5349 Ph: (781) 284-2275 |
| NPI Number | 1396998621 |
|---|---|
| Provider Enumeration Date | 10/30/2008 |
| Last Update Date | 10/30/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396998621 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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