Individual
DR. JUSTIN BROADBENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1344 S 800 E STE 220, OREM, UT 84097-5503
(317) 777-0096
Mailing address
1344 S 800 E STE 220, OREM, UT 84097-5503
(317) 777-0096
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
10174
CO
122300000X
Dentist
Primary
7384987-9921
UT
Other
Enumeration date
05/25/2009
Last updated
07/09/2013
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