| NPI | 1801457254 |
|---|---|
| Doing Business As | BROADWAY DENTAL |
| Entity Type | Organization |
| Authorized Contact | JIMMY DANG CEO 818-240-5888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2019-06-26 |
| Last Update Date | 2019-06-26 |