Broadway Dental Center PC
Dentist, General Practice in Passaic, NJ. Organization (NPI-2).
NPI number1518246453
StatusActive
Last updated in NPPESJan 21, 2015
Details
- NPI
- 1518246453
- Entity type
- Organization (NPI-2)
- Legal business name
- Broadway Dental Center PC
- Organization subpart
- No
- Enumeration date
- Aug 9, 2011
- Last updated
- Jan 21, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | DI02292800 | NJ | Yes |
Other names
- Broadway Dental Center (Doing Business As)
Practice location
15 BroadwaySuite 202
Passaic, NJ 07055-5007
Phone 973-777-1202
Mailing address
15 BroadwaySuite 202
Passaic, NJ 07055-5007
Phone 973-777-1202
Authorized official
Sunitha Murthy
Owner
9737771202
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