BROADWAY DENTAL SERVICES
Organization (NPI-2)
Active
Dentist, General Practice
Provider Information
- NPI Number
1215219084- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 3195 BROADWAY, GARY, IN, 464091006
- Phone
- (219) 671-3754
Specialties & Taxonomies
Dentist, General Practice
Primary License: IN #12011216a