Organization
MICHAEL D BROADBENT DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL D BROADBENT DDS (OWNER PRESIDENT DENTIST)
(480) 924-8633
Entity
Organization
Contact information
Practice address
1058 N HIGLEY RD, SUITE 212, MESA, AZ 85205
(480) 924-8633
(480) 924-2647
Mailing address
1058 N HIGLEY RD, SUITE 212, MESA, AZ 85205
(480) 924-8633
(480) 924-8633
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3584
AZ
Other
Enumeration date
11/01/2007
Last updated
11/01/2007
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