| NPI | 1639537616 |
|---|---|
| Doing Business As | BROADWAY FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | TARIQ SAYEGH SAYEGH Owner/Doctor 1440-454-3536 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2016-02-04 |
| Last Update Date | 2016-02-04 |