Broadway Smiles Dental, LLC
NPI #1144801622 in Oak Grove, Missouri
Provider Information
- NPI Number
- 1144801622
- Entity Type
- Organization
- Organization Name
- Broadway Smiles Dental, LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Apr 16, 2021
- Last Updated
- Apr 16, 2021
Practice Location
Authorized Official
- Name
- DR. STACI NICOLE OSGOOD, DDS
- Title
- GENERAL DENTIST
- Phone
- (913) 558-3919
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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