| NPI | 1902063043 |
|---|---|
| Doing Business As | BROADWAY DENTAL ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | LINH THUY TRAN Dentist 773-878-1009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: IL 019-026073) |
| Enumeration Date | 2008-05-16 |
| Last Update Date | 2008-05-16 |