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1326371410
THOMAS AUSTEN BROADBENT
WEST VALLEY, UT
NPI
1326371410
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: UT 7390228-9922)
Enumeration Date
2009-09-08
Last Update Date
2009-09-08
Business Address
Dr. THOMAS AUSTEN BROADBENT DMD
3540 S 4000 W SUITE #140
WEST VALLEY, UT 84120-3260
Phone number: 801-969-6200
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Mailing Address
Dr. THOMAS AUSTEN BROADBENT DMD
3540 S 4000 W SUITE #140
WEST VALLEY, UT 84120-3260
Phone number: 801-969-6200
Copy
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