Individual
DR. SCOTT A BROADBENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
19365 7TH AVE NE STE 110, POULSBO, WA 98370-7441
(360) 697-3331
(360) 697-4610
Mailing address
19365 7TH AVE NE STE 110, POULSBO, WA 98370-7441
(360) 697-3331
(360) 697-4610
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE00006455
WA
Other
Enumeration date
08/14/2012
Last updated
08/14/2012
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