DR. Derrick Maurice Broadaway, DDS

NPI #1336292952 in Hampton, Virginia

Provider Information

NPI Number
1336292952
Entity Type
Individual
Name
DR. Derrick Maurice Broadaway, DDS
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - General Practice
Credential
DDS
Enumeration Date
Jan 18, 2007
Last Updated
Nov 27, 2023

Practice Location

Address
3709 KECOUGHTAN RD
ZIP Code
23669-4405
Phone
(757) 722-8507

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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