institution
Broadway Smiles
Dental Clinic/Center in Idaho Falls, Idaho
NPI 1275999872

Broadway Smiles is a Dental Clinic/Center based in Idaho Falls, ID and is specialized in Dental. Broadway Smiles practices in Idaho Falls, ID. The NPI Number for Broadway Smiles is 1275999872 and holds a License No. D-4109 (Idaho).

The current practice location address for Broadway Smiles is 505 1St St Ste B, Idaho Falls, ID and can be reached out via phone at 208-529-1903 and via fax at 208-529-1925.

Location: 505 1St St Ste B, Idaho Falls, ID, 83401-3929
institution
Provider Profile Details
NPI Number
1275999872
Provider Name
Broadway Smiles
Credential
Provider Entity Type
Organization
Address
505 1St St Ste B, Idaho Falls, ID, 83401-3929
Phone Number
208-529-1903
Fax Number
208-529-1925
Provider Enumeration Date
01/12/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
505 1St St Ste B
City
State
Zip
83401-3929
Phone Number
208-529-1903
Fax Number
208-529-1925
person
Provider Business Mailing Address Details
Address
505 1St St Ste B
City
State
Zip
83401-3929
Phone Number
208-529-1903
Fax Number
208-529-1925
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
License No.
D-4109 (Idaho)
Definition
Definition to come...
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