Organization
BROADWAY SMILES
Active
Parent organization
NC FAMILY DENTAL
Other names
Broadway Smiles
Organization subpart
Yes
Provider details
NPI number
Legal business name
NC FAMILY DENTAL
Authorized official
MARLENE THOMPSON DDS (OWNER)
(760) 480-5622
Entity
Organization
Contact information
Practice address
126 W EL NORTE PKWY, ESCONDIDO, CA 92026-2502
(760) 480-5622
(760) 480-5623
Mailing address
126 W EL NORTE PKWY, ESCONDIDO, CA 92026-2502
(760) 480-5622
(760) 480-5623
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
50382
CA
Other
Enumeration date
02/19/2016
Last updated
02/19/2016
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