BROADWAY FAMILY AND COSMETIC DENTISTRY, PARTNERSHIP

COUNCIL BLUFFS, IA
NPI1063715969
Entity TypeOrganization
Authorized ContactGARY A SMITH
Dentist
712-323-3615
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: IA  6699)
Enumeration Date2010-12-15
Last Update Date2010-12-15
Business Address
BROADWAY FAMILY AND COSMETIC DENTISTRY, PARTNERSHIP
2612 W BROADWAY
COUNCIL BLUFFS, IA 51501-3510
Phone number: 712-323-3615
Mailing Address
BROADWAY FAMILY AND COSMETIC DENTISTRY, PARTNERSHIP
2612 W BROADWAY
COUNCIL BLUFFS, IA 51501-3510
Phone number: 712-323-3615
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