Michael D Broadbent DDS PC

NPI #1467631812 in Mesa, Arizona

Provider Information

NPI Number: 1467631812
Entity Type: Organization
Organization Name: Michael D Broadbent DDS PC
Primary Specialty: Dentist - General Practice
Enumeration Date: Nov 1, 2007
Last Updated: Nov 1, 2007

Practice Location

Address: 1058 N HIGLEY RD
Address 2: SUITE 212
City: Mesa
State: Arizona
ZIP Code: 85205
Phone: (480) 924-8633

Authorized Official

Name: MICHAEL D BROADBENT, DDS
Title: OWNER PRESIDENT DENTIST
Phone: (480) 924-8633

Specialties & Taxonomy Codes

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

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