Individual provider · NPI-1

Dr. Calen H. Broadbent, DMD

Dentist, General Practice · Renton, WA

NPI number1841219946
StatusActive
Last updated in NPPESJul 9, 2007

Details

NPI
1841219946
Entity type
Individual (NPI-1)
Name
Dr. Calen H. Broadbent
Credential
DMD
Sex
Male
Sole proprietor
Yes
Enumeration date
Jul 19, 2006
Last updated
Jul 9, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General PracticeDE00006273WAYes

Practice location

17220 140th Ave Se
Suite A
Renton, WA 98058-7000

Phone 425-226-4677 · Fax 425-227-9029

Mailing address

17220 140th Ave Se
Suite A
Renton, WA 98058-7000

Phone 425-226-4677 · Fax 425-227-9029

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