Organization
BROADWAY FAMILY DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM JENNINGS DDS (OWNER/DENTIST)
(940) 206-8956
Entity
Organization
Contact information
Practice address
3901 BROADWAY ST # J, GALVESTON, TX 77550-3821
(409) 765-7500
Mailing address
2109 COMMERCE ST # 200, DALLAS, TX 75201-4305
(972) 248-1221
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/30/2023
Last updated
06/15/2023
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