Organization
DR. STEPHEN E. BROAD DDS PC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN EDWIN BROAD DDS (GENERAL DENTIST)
(319) 366-8521
Entity
Organization
Contact information
Practice address
1055 N CENTER POINT RD, HIAWATHA, IA 52233-1231
(319) 366-8521
(319) 393-2854
Mailing address
1055 N CENTER POINT RD, HIAWATHA, IA 52233-1231
(319) 366-8521
(319) 393-2854
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
06477
IA
Other
Enumeration date
04/09/2007
Last updated
07/24/2008
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