# BROADWAY FAMILY DENTAL PRESENTED BY DR. TARIQ SAYEGH BDS LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Broadway Family Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639537616
- **Authorized official:** DR. TARIQ SAYEGH SAYEGH D.D.S. (OWNER/DOCTOR)
- **Authorized official phone:** 14404543536

## Contact information

- **Practice address:** 5716 BROADWAY AVENUE, CLEVELAND, OH 44127-1715
- **Practice address phone:** (216) 862-4990
- **Practice address fax:** (216) 862-3585
- **Mailing address:** 5716 BROADWAY AVENUE, CLEVELAND, OH 44127-1715
- **Mailing address phone:** (216) 862-4990
- **Mailing address fax:** (216) 862-3585

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/04/2016
- **Last updated:** 02/04/2016