Broadway Dental LLC

NPI #1790816817 in Denison, Iowa

Provider Information

NPI Number
1790816817
Entity Type
Organization
Organization Name
Broadway Dental LLC
Primary Specialty
Dentist - General Practice
Enumeration Date
Mar 8, 2007
Last Updated
Apr 4, 2025

Practice Location

Address
1415 BROADWAY
State
Iowa
ZIP Code
51442-2052
Phone
(712) 263-5615

Authorized Official

Name
DR. KRISTI OUDERKIRK-BOCK, DDS
Title
OWNER
Phone
(712) 263-5615

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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