| Broadway Dental Care | |
|
1534 Broadway Seattle WA 98122-3811 | |
| (206) 323-7727 | |
| (206) 323-0733 |
| Full Name | Broadway Dental Care |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1534 Broadway, Seattle, Washington |
| Authorized Official Name and Position | Edward George Sutter (OWNER) |
| Authorized Official Contact | 2063237727 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Broadway Dental Care 1534 Broadway Seattle WA 98122-3811 Ph: (206) 323-7727 | Broadway Dental Care 1534 Broadway Seattle WA 98122-3811 Ph: (206) 323-7727 |
| NPI Number | 1376580423 |
|---|---|
| Provider Enumeration Date | 05/31/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376580423 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 2891 (Washington) | Primary |
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