DR. Brian Broadwell, D.D.S.
NPI #1689679383 in Shreveport, Louisiana
Provider Information
- NPI Number
- 1689679383
- Entity Type
- Individual
- Name
- DR. Brian Broadwell, D.D.S.
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Dentist - General Practice
- Credential
- D.D.S.
- Enumeration Date
- Jun 17, 2005
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 8535 FERN AVE
- City
- Shreveport
- State
- Louisiana
- ZIP Code
- 71105-5656
- Phone
- (318) 798-3376
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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