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1053442244
BROADWAY FAMILY AND COSMETIC DENTISTRY, P.C.
COUNCIL BLUFFS, IA
NPI
1053442244
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Entity Type
Organization
Authorized Contact
GARY A. SMITH
Owner
712-323-3615
Organization Subpart ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: IA 6699)
Enumeration Date
2007-03-08
Last Update Date
2008-08-01
Business Address
BROADWAY FAMILY AND COSMETIC DENTISTRY, P.C.
2612 W BROADWAY
COUNCIL BLUFFS, IA 51501-3510
Phone number: 712-323-3615
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Mailing Address
BROADWAY FAMILY AND COSMETIC DENTISTRY, P.C.
2612 W BROADWAY
COUNCIL BLUFFS, IA 51501-3510
Phone number: 712-323-3615
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