Organization
BROADWAY DENATL CARE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THAI G LUONG DDS (PRESIDENT)
(212) 226-6262
Entity
Organization
Contact information
Practice address
401 BROADWAY STE 206, NEW YORK, NY 10013-3033
(212) 226-6262
(212) 226-4663
Mailing address
401 BROADWAY STE 206, NEW YORK, NY 10013-3033
(212) 226-6262
(212) 226-4663
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
047394
NY
Other
Enumeration date
03/11/2008
Last updated
03/11/2008
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