BROADWAY DENTAL, P.A.

TYLER, TX
NPI1740733104
Entity TypeOrganization
Authorized ContactMOHAMMAD ARIF
President
951-642-0948
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: TX  29244)
Enumeration Date2016-08-02
Last Update Date2016-08-02
Business Address
BROADWAY DENTAL, P.A.
5621 S BROADWAY AVE
TYLER, TX 75703-4348
Phone number: 951-642-0948
Mailing Address
BROADWAY DENTAL, P.A.
5621 S BROADWAY AVE
TYLER, TX 75703-4348
Phone number: