NPI | 1194490847 |
---|---|
Doing Business As | BROADWAY DENTAL OF PEARLAND |
Entity Type | Organization |
Authorized Contact | ANDREW ALLOUCH Director 281-857-6321 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center Dental |
Enumeration Date | 2021-08-13 |
Last Update Date | 2022-07-18 |