NPI | 1184705923 |
---|---|
Doing Business As | BROADWAY DENTAL CARE |
Entity Type | Organization |
Authorized Contact | KATHY R SLAUGHTER Dmd 570-443-9099 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2006-10-18 |
Last Update Date | 2020-08-22 |