| NPI | 1134328834 | 
|---|---|
| Doing Business As | BROADWAY SMILES | 
| Entity Type | Organization | 
| Authorized Contact | MILENA HALEK Partner 303-786-8899  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CO 6763)  | 
| Enumeration Date | 2007-07-12 | 
| Last Update Date | 2007-07-12 |