| NPI | 1982472361 |
|---|---|
| Doing Business As | BROADWAY FAMILY DENTISTRY & IMPLANTS |
| Entity Type | Organization |
| Authorized Contact | CASSIO CASTRO Dentist Owner 954-290-2396 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2023-12-15 |
| Last Update Date | 2023-12-15 |