Individual
DR. STEPHEN EDWIN BROAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS PC
Contact information
Practice address
1055 NORTH CENTER POINT ROAD, HIAWATHA, IA 52233
(319) 366-8521
(319) 393-2854
Mailing address
1055 N CENTER POINT ROAD, HIAWATHA, IA 52233
(319) 366-8521
(319) 393-2854
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
06477
IA
Other
Enumeration date
05/28/2008
Last updated
05/28/2008
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