Organization
BROADWAY DENTAL ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAQSOOD A CHAUDHRY DDS (PARTNERSHIP OWNER)
(703) 533-8668
Entity
Organization
Contact information
Practice address
815 W BROAD ST, SUITE A, FALLS CHURCH, VA 22046-3107
(703) 533-8668
Mailing address
815 W BROAD ST, SUITE A, FALLS CHURCH, VA 22046-3107
(703) 533-8668
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401007713
VA
122300000X
Dentist
0401412035
VA
122300000X
Dentist
0401412386
VA
Other
Enumeration date
10/20/2010
Last updated
10/20/2010
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