BRIAN BROADWELL

SHREVEPORT, LA
NPI1689679383
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: LA  5313)
Enumeration Date2005-06-17
Last Update Date2007-07-08
Business Address
Dr. BRIAN BROADWELL D.D.S.
8535 FERN AVE
SHREVEPORT, LA 71105-5656
Phone number: 318-798-3376
Mailing Address
Dr. BRIAN BROADWELL D.D.S.
8535 FERN AVE
SHREVEPORT, LA 71105-5656
Phone number: 318-798-3376
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