Organization
BROADWAY DENTAL CENTER, INC.
Active
Other names
S. David Buck, DDS
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN DAVID BUCK DDS (OWNER/CEO)
(206) 324-1100
Entity
Organization
Contact information
Practice address
310 HARVARD AVE. E., SEATTLE, WA 98102
(206) 324-1100
(206) 324-6711
Mailing address
310 HARVARD AVE. E., SEATTLE, WA 98102
(206) 324-1100
(206) 324-6711
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
6274
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6274
DDS
WA
Enumeration date
06/02/2015
Last updated
06/02/2015
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