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Organization

BROADWAY FAMILY DENTAL PRESENTED BY DR. TARIQ SAYEGH BDS LLC

Active
Other names
Broadway Family Dental
Organization subpart
No

Provider details

NPI number
Authorized official
DR. TARIQ SAYEGH SAYEGH D.D.S. (OWNER/DOCTOR)
14404543536
Entity
Organization

Contact information

Practice address
5716 BROADWAY AVENUE, CLEVELAND, OH 44127-1715
(216) 862-4990
(216) 862-3585
Mailing address
5716 BROADWAY AVENUE, CLEVELAND, OH 44127-1715
(216) 862-4990
(216) 862-3585

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2943391
OH
Enumeration date
02/04/2016
Last updated
02/04/2016
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