| On Broadway Dentistry | |
|
4435 E Broadway Rd # 9 Mesa AZ 85206-2012 | |
| (480) 223-0255 | |
| (480) 654-0705 |
| Full Name | On Broadway Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4435 E Broadway Rd # 9, Mesa, Arizona |
| Authorized Official Name and Position | Bennett Mankin (CEO) |
| Authorized Official Contact | 4806360170 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| On Broadway Dentistry 3658 E Morrison Ranch Pkwy Gilbert AZ 85296-1816 Ph: (480) 636-0170 | On Broadway Dentistry 4435 E Broadway Rd # 9 Mesa AZ 85206-2012 Ph: (480) 223-0255 |
| NPI Number | 1851857064 |
|---|---|
| Provider Enumeration Date | 02/12/2019 |
| Last Update Date | 02/07/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851857064 | NPI | - | NPPES |
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