Broadway Dental Center, LLC

NPI #1396968251 in Passaic, New Jersey

Provider Information

NPI Number
1396968251
Entity Type
Organization
Organization Name
Broadway Dental Center, LLC
Primary Specialty
Dentist - General Practice
Enumeration Date
Apr 10, 2007
Last Updated
Aug 22, 2020

Practice Location

Address
15 BROADWAY
ZIP Code
07055-5007
Phone
(973) 777-1202

Authorized Official

Name
GURAM YAKOBASHVILI, DDS
Title
OWNER
Phone
(973) 777-1202

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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