Organization
SCOTT A. BROADBENT, D.D.S, P.S.
Active
Other names
Village Dental
Organization subpart
No
Provider details
NPI number
Authorized official
LISA OLSON (OFFICE ADMISTRATION)
(360) 697-3331
Entity
Organization
Contact information
Practice address
19365 7TH AVE NE, SUITE 110, POULSBO, WA 98370-7441
(360) 697-3331
(360) 697-4610
Mailing address
19365 7TH AVE NE STE 110, POULSBO, WA 98370-7441
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE00006455
WA
Other
Enumeration date
09/20/2006
Last updated
08/14/2012
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