DR. Stephen Paul Broderson, D.D.S.
NPI #1821062746 in Santa Fe, New Mexico
Provider Information
- NPI Number
- 1821062746
- Entity Type
- Individual
- Name
- DR. Stephen Paul Broderson, D.D.S.
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Dentist - General Practice
- Credential
- D.D.S.
- Enumeration Date
- Feb 15, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 7 AVENIDA VISTA GRANDE
- Address 2
- NO.108
- City
- Santa Fe
- State
- New Mexico
- ZIP Code
- 87508-9198
- Phone
- (505) 757-3456
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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