| Broadway Family Dental | |
|
5716 Broadway Avenue Cleveland OH 44127-1715 | |
| (216) 862-4990 | |
| (216) 862-3585 |
| Full Name | Broadway Family Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 5716 Broadway Avenue, Cleveland, Ohio |
| Authorized Official Name and Position | Tariq Sayegh Sayegh (OWNER/DOCTOR) |
| Authorized Official Contact | 14404543536 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Broadway Family Dental 5716 Broadway Avenue Cleveland OH 44127-1715 Ph: (216) 862-4990 | Broadway Family Dental 5716 Broadway Avenue Cleveland OH 44127-1715 Ph: (216) 862-4990 |
| NPI Number | 1639537616 |
|---|---|
| Provider Enumeration Date | 02/04/2016 |
| Last Update Date | 02/04/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639537616 | NPI | - | NPPES |
| 2943391 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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