| NPI | 1003253816 |
|---|---|
| Doing Business As | BROADWAY FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | KAVITHA PAI Managing Member 201-993-9961 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: TX 24059) |
| Enumeration Date | 2013-06-03 |
| Last Update Date | 2013-07-15 |