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1205049459
MICHAEL WILLIAM BROADBENT
OGDEN, UT
NPI
1205049459
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: UT 6511661-9924)
Enumeration Date
2007-05-07
Last Update Date
2015-04-27
Business Address
Dr. MICHAEL WILLIAM BROADBENT DMD, M.S.
3590 HARRISON BLVD SUITE #2
OGDEN, UT 84403-2060
Phone number: 801-392-7176
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Mailing Address
Dr. MICHAEL WILLIAM BROADBENT DMD, M.S.
3590 HARRISON BLVD SUITE #2
OGDEN, UT 84403-2060
Phone number: 801-392-7176
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