Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Broadway Smile Boutique

Organization Dental Clinic/Center · NPI 1063208502

Broadway Smile Boutique is a Dental Clinic/Center in Glendale, California. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

1100 E Broadway # 302
Glendale, CA 91205-1384
Phone: (818) 900-1100
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X

Record details

NPI number1063208502
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Shirinian — Dentist · (818) 454-6382
NPI enumeratedApril 18, 2025
Last updated in NPPESApril 18, 2025
Certification dateApril 18, 2025
Mailing address3331 Castleman Ln, Burbank, CA 91504-1630

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