Individual
DR. BARRY DUANE BROADHEAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
3575 GRANT DR., SUITE 1, RENO, NV 89509
(775) 825-4070
(775) 825-3157
Mailing address
3575 GRANT DR., SUITE 1, RENO, NV 89509
(775) 825-4070
(775) 825-3157
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2161
NV
Other
Enumeration date
09/22/2006
Last updated
07/08/2007
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