Individual
STEPHEN BOYD BROUGHTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
117 1/2 NICHOLAS ST, CLARKSBURG, WV 26301
(304) 623-5186
Mailing address
117 1/2 NICHOLAS ST, CLARKSBURG, WV 26301
(304) 623-5186
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2566
WV
Other
Enumeration date
10/22/2007
Last updated
10/22/2007
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