Organization
BROADWAY DENTAL & BRACES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NAZLIE TAHERI (DENTIST)
(281) 796-6350
Entity
Organization
Contact information
Practice address
12039 ANTOINE DR STE 110, HOUSTON, TX 77066-4457
(281) 796-6350
Mailing address
2724 KIPLING STREET, APT 734, HOUSTON, TX 77098
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/28/2024
Last updated
10/28/2024
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