Broadway Family Dentistry | |
3200 Broadway Blvd #340 Garland TX 75043-1573 | |
(972) 864-8119 | |
(972) 926-0630 |
Full Name | Broadway Family Dentistry |
---|---|
Speciality | Dentist |
Location | 3200 Broadway Blvd, Garland, Texas |
Authorized Official Name and Position | Kavitha Pai (MANAGING MEMBER) |
Authorized Official Contact | 2019939961 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Broadway Family Dentistry 3200 Broadway Blvd #340 Garland TX 75043-1573 Ph: (972) 864-8119 | Broadway Family Dentistry 3200 Broadway Blvd #340 Garland TX 75043-1573 Ph: (972) 864-8119 |
NPI Number | 1003253816 |
---|---|
Provider Enumeration Date | 06/03/2013 |
Last Update Date | 07/15/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003253816 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 24059 (Texas) | Primary |
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