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1790816817
BROADWAY DENTAL LLC
DENISON, IA
NPI
1790816817
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Entity Type
Organization
Authorized Contact
RYAN E BYGNESS
Owner
712-263-5615
Organization Subpart ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: IA 07912)
Enumeration Date
2007-03-08
Last Update Date
2020-08-22
Business Address
BROADWAY DENTAL LLC
1415 BROADWAY
DENISON, IA 51442-2052
Phone number: 712-263-5615
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Mailing Address
BROADWAY DENTAL LLC
1415 BROADWAY
DENISON, IA 51442-2052
Phone number: 712-263-5615
Copy
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