institution
Broadway Dental, P.c.
Dental Clinic/Center in Portland, Oregon
NPI 1043425697

Broadway Dental, P.c. is a Dental Clinic/Center based in Portland, OR and is specialized in Dental. Broadway Dental, P.c. practices in Portland, OR. The NPI Number for Broadway Dental, P.c. is 1043425697 and holds a License No. D 5439 (Oregon).

The current practice location address for Broadway Dental, P.c. is 1301 Ne Broadway St, Portland, OR and can be reached out via phone at 503-249-1100 and via fax at 503-249-2969.

Location: 1301 Ne Broadway St, Portland, OR, 97232-1235
institution
Provider Profile Details
NPI Number
1043425697
Provider Name
Broadway Dental, P.c.
Credential
Provider Entity Type
Organization
Address
1301 Ne Broadway St, Portland, OR, 97232-1235
Phone Number
503-249-1100
Fax Number
503-249-2969
Provider Enumeration Date
05/14/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1301 Ne Broadway St
City
State
Zip
97232-1235
Phone Number
503-249-1100
Fax Number
503-249-2969
person
Provider Business Mailing Address Details
Address
1301 Ne Broadway St
City
State
Zip
97232-1235
Phone Number
503-249-1100
Fax Number
503-249-2969
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
License No.
D 5439 (Oregon)
Definition
Definition to come...
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