Broadway Dental Associates, LLC

NPI #1043520349 in Falls Church, Virginia

Provider Information

NPI Number: 1043520349
Entity Type: Organization
Organization Name: Broadway Dental Associates, LLC
Primary Specialty: Dentist
Enumeration Date: Oct 20, 2010
Last Updated: Oct 20, 2010

Practice Location

Address: 815 W BROAD ST
Address 2: SUITE A
City: Falls Church
State: Virginia
ZIP Code: 22046-3107
Phone: (703) 533-8668

Authorized Official

Name: MAQSOOD A CHAUDHRY, DDS
Title: PARTNERSHIP OWNER
Phone: (703) 533-8668

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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