| NPI | 1417307943 |
|---|---|
| Doing Business As | BROADWAY SMILE DESIGNERS |
| Entity Type | Organization |
| Authorized Contact | LANCE T. TRAN President 713-643-7673 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 17945) |
| Enumeration Date | 2016-06-15 |
| Last Update Date | 2016-06-15 |