BROADWAY SMILES
Organization (NPI-2)
Active
Clinic/Center, Dental
Provider Information
- NPI Number
1275999872- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 505 1ST ST STE B, IDAHO FALLS, ID, 834013929
- Phone
- (208) 529-1903
- Fax
- (208) 529-1925
Specialties & Taxonomies
Clinic/Center, Dental
Primary License: ID #D-4109