KENT WILSON BROADBENT

LAYTON, UT
NPI1851462683
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223S0112X Dentist Oral and Maxillofacial Surgery
(Licence: UT  73-135296-9921)
Enumeration Date2006-11-13
Last Update Date2007-07-08
Business Address
KENT WILSON BROADBENT D.D.S
2511 E 2750 N
LAYTON, UT 84040-8179
Phone number: 801-771-0259
Mailing Address
KENT WILSON BROADBENT D.D.S
2511 E 2750 N
LAYTON, UT 84040-8179
Phone number: 801-771-0259