| NPI | 1245572379 |
|---|---|
| Doing Business As | BROADWAY SMILES DENTISTRY AND ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | CARL C FAIRCHILD Owner 520-750-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ 7462) |
| Enumeration Date | 2013-03-27 |
| Last Update Date | 2013-03-27 |