Broadway Oral Surgery, LLC
NPI #1710703541 in Elizabeth, New Jersey
Provider Information
- NPI Number
- 1710703541
- Entity Type
- Organization
- Organization Name
- Broadway Oral Surgery, LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Nov 26, 2024
- Last Updated
- Nov 26, 2024
Practice Location
- Address
- 65 JEFFERSON AVE
- Address 2
- FLOOR 2 SUITE A
- City
- Elizabeth
- State
- New Jersey
- ZIP Code
- 07201
- Phone
- (908) 677-5040
Authorized Official
- Name
- MR. MICHAEL SKOLNICK, DMD
- Title
- OWNER
- Phone
- (908) 469-9100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Pediatric Dentistry — Pediatric Dentistry |
| Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery |
| Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics |
| Dentist - General Practice — General Practice |
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