DERRICK M. BROADAWAY, D.D.S., PC

VIRGINIA BEACH, VA
NPI1316156102
Entity TypeOrganization
Authorized ContactJOYCE S DAVIS
Office Manager
757-471-6672
Organization Subpart ?Yes
Primary Taxonomy1223G0001X Dentist General Practice
Enumeration Date2007-05-21
Last Update Date2008-04-07
Business Address
DERRICK M. BROADAWAY, D.D.S., PC
3809 PRINCESS ANNE RD SUITE 111
VIRGINIA BEACH, VA 23456-1900
Phone number: 757-471-6672
Mailing Address
DERRICK M. BROADAWAY, D.D.S., PC
3809 PRINCESS ANNE RD SUITE 111
VIRGINIA BEACH, VA 23456-1900
Phone number: 757-471-6672
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