Organization
BROADWAY DENTAL WELLNESS PLLC
Active
Other names
Broadway Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDRES SETAPUTRI DDS (OWNER)
(734) 250-1473
Entity
Organization
Contact information
Practice address
1510 N BROADWAY ST, HASTINGS, MI 49058-3024
(269) 945-3358
Mailing address
1510 N BROADWAY ST, HASTINGS, MI 49058-3024
(269) 945-3358
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/22/2023
Last updated
05/22/2023
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