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1841219946
CALEN H. BROADBENT
RENTON, WA
NPI
1841219946
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: WA DE00006273)
Enumeration Date
2006-07-19
Last Update Date
2007-07-09
Business Address
Dr. CALEN H. BROADBENT DMD
17220 140TH AVE SE SUITE A
RENTON, WA 98058-7000
Phone number: 425-226-4677
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Mailing Address
Dr. CALEN H. BROADBENT DMD
17220 140TH AVE SE SUITE A
RENTON, WA 98058-7000
Phone number: 425-226-4677
Copy
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