DR. BRIAN BROADWELL, D.D.S.
Dentist - General Practice
Active
Individual
NPI: 1689679383
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist - General Practice | 1223G0001X | Yes | 5313 (LA) |
Frequently Asked Questions
NPI 1689679383 is the National Provider Identifier for DR. BRIAN BROADWELL, D.D.S., a Dentist - General Practice provider located in Shreveport, LA. This NPI was enumerated on June 17, 2005.
DR. BRIAN BROADWELL, D.D.S. practices at 8535 FERN AVE, Shreveport, LA 71105.
Quick Facts
- NPI
- 1689679383
- Type
- Individual
- Enumerated
- Jun 17, 2005
- Last Updated
- Jul 8, 2007
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