| Broadway Dental Health Boutique,p.c. | |
|
158 Broadway Brooklyn NY 11211-6193 | |
| (718) 218-8191 | |
| Not Available |
| Full Name | Broadway Dental Health Boutique,p.c. |
|---|---|
| Speciality | Dentist |
| Location | 158 Broadway, Brooklyn, New York |
| Authorized Official Name and Position | Saul Schwalb (PRES) |
| Authorized Official Contact | 7182188191 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Broadway Dental Health Boutique,p.c. 158 Broadway Brooklyn NY 11211-6193 Ph: (718) 218-8191 | Broadway Dental Health Boutique,p.c. 158 Broadway Brooklyn NY 11211-6193 Ph: (718) 218-8191 |
| NPI Number | 1316082332 |
|---|---|
| Provider Enumeration Date | 02/20/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316082332 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 0038195 (New York) | Primary |
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