DR. Thomas Karl Broadbent

NPI #1063568426 in West Valley City, Utah

Provider Information

NPI Number: 1063568426
Entity Type: Individual
Name: DR. Thomas Karl Broadbent
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Enumeration Date: Jan 26, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 3540 S 4000 W
Address 2: SUITE #140
City: West Valley City
State: Utah
ZIP Code: 84120-3260
Phone: (801) 969-6200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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