NPI | 1285979120 |
---|---|
Doing Business As | BROADWAY PERFECT DENTAL |
Entity Type | Organization |
Authorized Contact | GOHAR BERNAL Owner 713-645-1680 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2012-12-04 |
Last Update Date | 2012-12-04 |