Individual
DR. RANDALL DOUGLAS BROOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4710 UNIVERSITY WAY NE, #201, SEATTLE, WA 98105-4427
(206) 525-1414
Mailing address
4710 UNIVERSITY WAY NE, #201, SEATTLE, WA 98105-4427
(206) 525-1414
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8255
WA
Other
Enumeration date
04/19/2007
Last updated
07/08/2007
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