| NPI | 1053618140 |
|---|---|
| Doing Business As | BROADWAY DENTAL |
| Entity Type | Organization |
| Authorized Contact | BELLA OSTROVSKY Manager 781-284-2275 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA DN19044) |
| Enumeration Date | 2011-02-25 |
| Last Update Date | 2022-10-12 |