Organization
BROADWAY THO PLLC
Active
Other names
Galaxia Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAMIN JAFARI D.D.S. (MANAGING MEMBER)
(214) 493-1216
Entity
Organization
Contact information
Practice address
8223 BROADWAY ST, HOUSTON, TX 77061-1201
(214) 493-1216
Mailing address
8223 BROADWAY ST, HOUSTON, TX 77061-1201
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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