| Landen Broadhead, | |
|
151 Bodin Cir, Travis Afb, CA 94535-1801 | |
| (707) 423-7000 | |
| Not Available |
| Full Name | Landen Broadhead |
|---|---|
| Gender | Male |
| Speciality | Dentist |
| Location | 151 Bodin Cir, Travis Afb, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013455492 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 13972455-9926 (Utah) | Primary |
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Landen Broadhead, 101 Bodin Cir Bldg 777, Travis Afb, CA 94535-1809 Ph: () - | Landen Broadhead, 151 Bodin Cir, Travis Afb, CA 94535-1801 Ph: (707) 423-7000 |
Dr. Thomas Francis Kelly, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 101 Bodin St, 60th Dental Squadron, Travis Afb, CA 94535 Phone: 707-423-7085 | |
Dr. Teresa Ellen Reeves, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 60 Mdg/sgdd, 101 Bodin Circle, Travis Afb, Travis Afb, CA 94535 Phone: 707-423-7008 | |
Mr. Shae Daniel Bryant, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-7000 | |
Dr. Heather Norton, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-7008 | |
Dr. Edward Francis Mitnitsky, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 101 Bodin Cir, 60th Dental Squadron/sgdt, Travis Afb, CA 94535 Phone: 707-423-7072 | |
Dr. Brian David Lunt, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-7085 |