Broderson, Stephen Paul
Broderson, Stephen Paul is an individual health care provider with primary practice located at 7 Avenida Vista Grande No.108, Santa Fe NM 87508-9198. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Broderson, Stephen Paul can be contacted via phone (505) 757-3456.Contact Information
Primary practice address
7 Avenida Vista Grande No.108
Santa Fe NM 87508-9198
Phone: (505) 757-3456
Fax: (505) 757-3456
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 2318 | New Mexico |
Profile Details
| NPI number | 1821062746 |
|---|---|
| LBN Legal business name | Broderson, Stephen Paul |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 15th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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