Broadway Smiles
Broadway Smiles is a Dental Clinic/Center in Idaho Falls, Idaho. Licensed in Idaho. Registered with an NPI since 2016.
- Licensed in
- ID
- In the registry since
- 2016
Practice location Address checks out
505 1st St Ste BIdaho Falls, ID 83401-3929
Phone: (208) 529-1903
Fax: (208) 529-1925
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dental Clinic/Center (primary) | Taxonomy 261QD0000X · Licence D-4109 (ID) |
|---|
Record details
| NPI number | 1275999872 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Nataly Penuelas — Office Manager · (208) 680-0186 |
| Other names | Signature Smiles |
| NPI enumerated | January 12, 2016 |
| Last updated in NPPES | January 12, 2016 |
| Mailing address | 505 1st St Ste B, Idaho Falls, ID 83401-3929 |
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