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 |