Individual
DR. CALEN H. BROADBENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
17220 140TH AVE SE, SUITE A, RENTON, WA 98058-7000
(425) 226-4677
(425) 227-9029
Mailing address
17220 140TH AVE SE, SUITE A, RENTON, WA 98058-7000
(425) 226-4677
(425) 227-9029
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE00006273
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5024971
—
WA
Enumeration date
07/19/2006
Last updated
07/09/2007
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