BROADWAY FAMILY AND COSMETIC DENTISTRY, P.C.

COUNCIL BLUFFS, IA
NPI1053442244
Entity TypeOrganization
Authorized ContactGARY A. SMITH
Owner
712-323-3615
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: IA  6699)
Enumeration Date2007-03-08
Last Update Date2008-08-01
Business Address
BROADWAY FAMILY AND COSMETIC DENTISTRY, P.C.
2612 W BROADWAY
COUNCIL BLUFFS, IA 51501-3510
Phone number: 712-323-3615
Mailing Address
BROADWAY FAMILY AND COSMETIC DENTISTRY, P.C.
2612 W BROADWAY
COUNCIL BLUFFS, IA 51501-3510
Phone number: 712-323-3615