Individual
MICHAEL D BROADBENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS PC
Contact information
Practice address
1058 N HIGLEY RD, #212, MESA, AZ 85205-6463
(480) 924-8633
(480) 924-2647
Mailing address
1058 N HIGLEY RD, #212, MESA, AZ 85205-6463
(480) 924-8633
(480) 924-2647
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3584
AZ
Other
Enumeration date
03/19/2007
Last updated
07/08/2007
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