ON BROADWAY DENTISTRY

MESA, AZ
NPI1851857064
Entity TypeOrganization
Authorized ContactBENNETT MANKIN
CEO
480-636-0170
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist, General Practice
Additional Taxonomies261QD0000X Clinic/Center, Dental
332B00000X Durable Medical Equipment & Medical Supplies
Enumeration Date2019-02-12
Last Update Date2020-02-07
Business Address
ON BROADWAY DENTISTRY
4435 E BROADWAY RD # 9
MESA, AZ 85206-2012
Phone number: 480-223-0255
Mailing Address
ON BROADWAY DENTISTRY
3658 E MORRISON RANCH PKWY
GILBERT, AZ 85296-1816
Phone number: 480-636-0170