Kyra Vanden Broeck, DDS
NPI #1518571587 in Farmington, New Mexico
Provider Information
- NPI Number
- 1518571587
- Entity Type
- Individual
- Name
- Kyra Vanden Broeck, DDS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist
- Credential
- DDS
- Enumeration Date
- Sep 7, 2020
- Last Updated
- Sep 7, 2020
Practice Location
- Address
- 800 E 30TH ST BLDG 3
- City
- Farmington
- State
- New Mexico
- ZIP Code
- 87401-9407
- Phone
- (505) 327-9162
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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