Organization
BROADWAY FAMILY DENTISTRY PLLC
Active
Other names
Broadway Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KAVITHA PAI D.D.S. (MANAGING MEMBER)
(201) 993-9961
Entity
Organization
Contact information
Practice address
3200 BROADWAY BLVD, #340, GARLAND, TX 75043-1573
(972) 864-8119
(972) 926-0630
Mailing address
3200 BROADWAY BLVD, #340, GARLAND, TX 75043-1573
(972) 864-8119
(972) 926-0630
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
24059
TX
Other
Enumeration date
06/03/2013
Last updated
07/15/2013
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