| NPI | 1598838856 |
|---|---|
| Doing Business As | BROADWAY FAMILY DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | LANCE T TRAN President 713-643-7673 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: TX 17945) |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: TX 17945) |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2020-08-22 |