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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

Other

Enumeration date
08/16/2006
Last updated
08/22/2020
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