BROAD SMILE DENTISTRY

HENRICO, VA
NPI1770042723
Entity TypeOrganization
Authorized ContactMYUNGSUK KOH
Officer
804-913-1710
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center Dental
Enumeration Date2019-03-19
Last Update Date2019-03-19
Business Address
BROAD SMILE DENTISTRY
4017 LAUDERDALE DR
HENRICO, VA 23233-1082
Phone number: 804-913-1710
Mailing Address
BROAD SMILE DENTISTRY
4017 LAUDERDALE DR
HENRICO, VA 23233-1082
Phone number: 804-913-1710
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