Organization
BROADWAY DENTURE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES EDWARD OAKS DMD (OWNER)
(859) 745-4045
Entity
Organization
Contact information
Practice address
1412 NORTH BROADWAY, SUITE 203, LEXINGTON, KY 40505
(859) 253-6817
(859) 283-6817
Mailing address
1412 NORTH BROADWAY, SUITE 203, LEXINGTON, KY 40505
(859) 253-6817
(859) 283-6817
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
KY
Other
Enumeration date
11/20/2008
Last updated
11/20/2008
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