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Organization
BROADWAY SMILES DENTISTRY AND ORTHODONTICS, LLP
Active
Organization
BROADWAY SMILES DENTISTRY AND ORTHODONTICS, LLP
Active
Other names
Broadway Smiles Dentistry and Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
CARL C FAIRCHILD DDS (OWNER)
(520) 750-1000
Entity
Organization
Contact information
Practice address
5545 E BROADWAY BLVD STE 107, TUCSON, AZ 85711-3809
(520) 750-1000
(520) 750-1001
Mailing address
2860 MICHELLE DRIVE 2ND FLOOR, IRVINE, CA 92606
(714) 368-2077
(714) 368-2092
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7462
AZ
Other
Enumeration date
03/27/2013
Last updated
03/27/2013
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