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Broadway Dentist Llc
Dental Clinic/Center in Everett, Massachusetts
NPI 1235381302

Broadway Dentist Llc is a Dental Clinic/Center based in Everett, MA and is specialized in Dental. Broadway Dentist Llc practices in Everett, MA. The NPI Number for Broadway Dentist Llc is 1235381302 and holds a License No. 21366 (Massachusetts).

The current practice location address for Broadway Dentist Llc is 609 Broadway, Everett, MA and can be reached out via phone at 617-389-3636.

Location: 609 Broadway, Everett, MA, 02149-3712
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1235381302
Provider Name
Broadway Dentist Llc
Credential
Provider Entity Type
Organization
Address
609 Broadway, Everett, MA, 02149-3712
Phone Number
617-389-3636
Fax Number
Provider Enumeration Date
10/21/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
609 Broadway
City
Everett
State
Massachusetts
Zip
02149-3712
Phone Number
617-389-3636
Fax Number
person
Provider Business Mailing Address Details
Address
609 Broadway
City
Everett
State
Massachusetts
Zip
02149-3712
Phone Number
617-389-3636
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
21366 (Massachusetts)
Definition
Definition to come...
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