| NPI | 1295464451 |
|---|---|
| Doing Business As | BROADWAY FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | KATELYN NIETEN Owner 989-763-6094 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2022-06-05 |
| Last Update Date | 2022-09-13 |