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Organization
BEVERLY BROADWELL DDS PLLC
Active
Organization
BEVERLY BROADWELL DDS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BEVERLY B BROADWELL DDS PLLC (DENTIST OWNER)
(704) 723-9252
Entity
Organization
Contact information
Practice address
1921 CONCORD LAKE ROAD, KANNAPOLIS, NC 28083
(704) 723-9252
(704) 793-4531
Mailing address
1921 CONCORD LAKE ROAD, KANNAPOLIS, NC 28083
(704) 723-9252
(704) 793-4531
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/16/2006
Last updated
08/22/2020
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