Broadway Family Dentistry Pllc

NPI #1003253816 in Garland, Texas

Provider Information

NPI Number: 1003253816
Entity Type: Organization
Organization Name: Broadway Family Dentistry Pllc
Primary Specialty: Dentist
Enumeration Date: Jun 3, 2013
Last Updated: Jul 15, 2013

Practice Location

Address: 3200 BROADWAY BLVD
Address 2: #340
City: Garland
State: Texas
ZIP Code: 75043-1573
Phone: (972) 864-8119

Authorized Official

Name: DR. KAVITHA PAI, D.D.S.
Title: MANAGING MEMBER
Phone: (201) 993-9961

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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