Charles E Broadway, Dmd, PA

NPI #1740367879 in Eustis, Florida

Provider Information

NPI Number
1740367879
Entity Type
Organization
Organization Name
Charles E Broadway, Dmd, PA
Primary Specialty
Dentist - General Practice
Enumeration Date
Nov 1, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
1141 S EUSTIS ST
City
Eustis
State
Florida
ZIP Code
32726-5558
Phone
(352) 589-2099

Authorized Official

Name
DR. CHARLES ESTES BROADWAY, DMD
Title
DENTIST/OWNER
Phone
(352) 589-2099

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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