# BROADWAY DENTAL ASSOCIATES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043520349
- **Authorized official:** MAQSOOD A CHAUDHRY DDS (PARTNERSHIP OWNER)
- **Authorized official phone:** (703) 533-8668

## Contact information

- **Practice address:** 815 W BROAD ST, SUITE A, FALLS CHURCH, VA 22046-3107
- **Practice address phone:** (703) 533-8668
- **Mailing address:** 815 W BROAD ST, SUITE A, FALLS CHURCH, VA 22046-3107
- **Mailing address phone:** (703) 533-8668

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 0401007713 | VA | Yes |
| 122300000X | Dentist | 0401412035 | VA | — |
| 122300000X | Dentist | 0401412386 | VA | — |

## Other

- **Enumeration date:** 10/20/2010
- **Last updated:** 10/20/2010