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Organization
SCOTT A. BROADBENT, D.D.S, P.S.
Active
Organization
SCOTT A. BROADBENT, D.D.S, P.S.
Active
Other names
Village Dental
Organization subpart
No
Provider details
NPI number
Authorized official
LISA OLSON (OFFICE ADMISTRATION)
(360) 697-3331
Entity
Organization
Contact information
Practice address
19365 7TH AVE NE, SUITE 110, POULSBO, WA 98370-7441
(360) 697-3331
(360) 697-4610
Mailing address
19365 7TH AVE NE STE 110, POULSBO, WA 98370-7441
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE00006455
WA
Other
Enumeration date
09/20/2006
Last updated
08/14/2012
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