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1851462683
KENT WILSON BROADBENT
LAYTON, UT
NPI
1851462683
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: UT 73-135296-9921)
Enumeration Date
2006-11-13
Last Update Date
2007-07-08
Business Address
-- KENT WILSON BROADBENT D.D.S
2511 E 2750 N
LAYTON, UT 84040-8179
Phone number: 801-771-0259
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Mailing Address
-- KENT WILSON BROADBENT D.D.S
2511 E 2750 N
LAYTON, UT 84040-8179
Phone number: 801-771-0259
Copy
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