Individual
COLBY TROY BROADBENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1512 SW 89TH ST, OKLAHOMA CITY, OK 73159-6307
(405) 631-2700
(405) 631-2701
Mailing address
5810 E SKELLY DR STE 1800, TULSA, OK 74135-6434
(918) 998-0996
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6965
OK
Other
Enumeration date
06/29/2017
Last updated
06/16/2018
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