Individual
DR. JEFFREY P BROADBENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3590 HARRISON BLVD, SUITE 5, OGDEN, UT 84403-2060
(801) 621-1440
(801) 394-6833
Mailing address
COLLEGE PARK PLAZA HARRISON 3590, SUITE 5, OGDEN, UT 84403
(801) 621-1440
(801) 394-6833
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5329002-9922
UT
Other
Enumeration date
06/15/2011
Last updated
06/15/2011
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