1995 BROADWAY DENTAL ARTS PLLC
Organization (NPI-2)
Active
Dentist
Provider Information
- NPI Number
1144697368- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 1995 BROADWAY, NEW YORK, NY, 100235882
- Phone
- (212) 247-2330
Specialties & Taxonomies
Dentist
Primary License: NY #040754