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1639642028
BROADWAY DENTAL GROUP, PC
NEWARK, NJ
NPI
1639642028
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Entity Type
Organization
Authorized Contact
LENA KHAYLOMSKY
Dentist
862-237-7810
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
Enumeration Date
2019-01-08
Last Update Date
2019-01-08
Business Address
BROADWAY DENTAL GROUP, PC
81 BROADWAY
NEWARK, NJ 07104-3801
Phone number: 862-237-7810
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Mailing Address
BROADWAY DENTAL GROUP, PC
81 BROADWAY
NEWARK, NJ 07104-3801
Phone number: 862-237-7810
Copy
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