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Organization

BROADWAY DENTAL CENTER PC

Active
Other names
Broadway Dental Center
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SUNITHA MURTHY DDS (OWNER)
(973) 777-1202
Entity
Organization

Contact information

Practice address
15 BROADWAY, SUITE 202, PASSAIC, NJ 07055-5007
(973) 777-1202
Mailing address
15 BROADWAY, SUITE 202, PASSAIC, NJ 07055-5007
(973) 777-1202

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DI02292800
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0409961
NJ
Enumeration date
08/09/2011
Last updated
01/21/2015
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