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1063568426
THOMAS KARL BROADBENT
WEST VALLEY CITY, UT
NPI
1063568426
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: UT 140335-9922)
Enumeration Date
2007-01-26
Last Update Date
2007-07-08
Business Address
DR. THOMAS KARL BROADBENT
3540 S 4000 W SUITE #140
WEST VALLEY CITY, UT 84120-3260
Phone number: 801-969-6200
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Mailing Address
DR. THOMAS KARL BROADBENT
3540 S 4000 W SUITE #140
WEST VALLEY CITY, UT 84120-3260
Phone number: 801-969-6200
Copy
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