Organization
DENTIST ON BROADWAY, PLLC
Active
Other names
Toothology
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL JOSHUA SHAFFER DDS (OWNER/MANAGING DIRECTOR)
(516) 660-9341
Entity
Organization
Contact information
Practice address
42A BROADWAY, BROOKLYN, NY 11249-5907
(718) 678-3800
Mailing address
42A BROADWAY, BROOKLYN, NY 11249-5907
(718) 678-3800
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
06/04/2024
Last updated
06/04/2024
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