| Robert L Broady Dds Pc | |
|
158 Mayfair Plaza Florissant MO 63033-8008 | |
| (314) 355-5851 | |
| (314) 355-5852 |
| Full Name | Robert L Broady Dds Pc |
|---|---|
| Speciality | Dentist |
| Location | 158 Mayfair Plaza, Florissant, Missouri |
| Authorized Official Name and Position | Robert Lee Broady (PRESIDENT) |
| Authorized Official Contact | 3143555851 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert L Broady Dds Pc 158 Mayfair Plaza Florissant MO 63033-8008 Ph: (314) 355-5851 | Robert L Broady Dds Pc 158 Mayfair Plaza Florissant MO 63033-8008 Ph: (314) 355-5851 |
| NPI Number | 1780650069 |
|---|---|
| Provider Enumeration Date | 02/27/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780650069 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 12980 (Missouri) | Primary |
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