Organization
BROADWAY SMILES DENTISTRY AND ORTHODONTICS, LLP
Active
Other names
Broadway Smiles Dentistry and Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
CARL C FAIRCHILD DDS (OWNER)
(520) 750-1000
Entity
Organization
Contact information
Practice address
5545 E BROADWAY BLVD STE 107, TUCSON, AZ 85711-3809
(520) 750-1000
(520) 750-1001
Mailing address
2860 MICHELLE DRIVE 2ND FLOOR, IRVINE, CA 92606
(714) 368-2077
(714) 368-2092
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7462
AZ
Other
Enumeration date
03/27/2013
Last updated
03/27/2013
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