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 |