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| Type | Company | [sources] | |||
|---|---|---|---|---|---|
| Name | Broadway Family Dental | [sources] | |||
| Incorporation date | not available | [sources] | |||
| Jurisdiction | not available | [sources] | |||
| Country | United States | [sources] | |||
| Description | Provider ID: 0158479 | [sources] | |||
| NPI | 1639537616 | [sources] | |||
| Registration number | not available | [sources] | |||
| Sector | Professional Medical Group | [sources] | |||
| Address | 5716 Broadway Avenue, Cleveland, OH 44127 | [sources] | |||
| Last change | Last processed | First seen | |||
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| Address | ||
|---|---|---|
| Full address | Country | |
| 5716 Broadway Avenue, Cleveland, OH 44127 | United States | |