Organization
BROADWAY DENTAL CENTER
Active
Other names
Smile Center
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER MCINTYRE (FINANCIAL COORDINATOR)
(269) 445-5550
Entity
Organization
Contact information
Practice address
110 S BROADWAY ST, CASSOPOLIS, MI 49031-1243
(269) 445-5550
(269) 445-0101
Mailing address
PO BOX 8, CASSOPOLIS, MI 49031-0008
(269) 445-5550
(269) 445-0101
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2915566
MI
Other
Enumeration date
01/16/2017
Last updated
01/16/2017
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