# BROADWAY DENTAL CENTER, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** S. David Buck, DDS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134509458
- **Authorized official:** DR. STEPHEN DAVID BUCK DDS (OWNER/CEO)
- **Authorized official phone:** (206) 324-1100

## Contact information

- **Practice address:** 310 HARVARD AVE. E., SEATTLE, WA 98102
- **Practice address phone:** (206) 324-1100
- **Practice address fax:** (206) 324-6711
- **Mailing address:** 310 HARVARD AVE. E., SEATTLE, WA 98102
- **Mailing address phone:** (206) 324-1100
- **Mailing address fax:** (206) 324-6711

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 6274 | WA | Yes |

## Other

- **Enumeration date:** 06/02/2015
- **Last updated:** 06/02/2015