DR. Stephen Edwin Broad, DDS PC

NPI #1316105265 in Hiawatha, Iowa

Provider Information

NPI Number: 1316105265
Entity Type: Individual
Name: DR. Stephen Edwin Broad, DDS PC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: DDS PC
Enumeration Date: May 28, 2008
Last Updated: May 28, 2008

Practice Location

Address: 1055 NORTH CENTER POINT ROAD
City: Hiawatha
State: Iowa
ZIP Code: 52233
Phone: (319) 366-8521

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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