Irene Aves Broyles DDS PC

NPI #1669711321 in Raymore, Missouri

Provider Information

NPI Number: 1669711321
Entity Type: Organization
Organization Name: Irene Aves Broyles DDS PC
Primary Specialty: Dentist
Enumeration Date: Jan 31, 2013
Last Updated: Jan 31, 2013

Practice Location

Address: 209 S WASHINGTON ST
City: Raymore
State: Missouri
ZIP Code: 64083-9729
Phone: (816) 331-3456

Authorized Official

Name: DR. IRENE AVES BROYLES, D.D.S.
Title: OWNER
Phone: (816) 331-3456

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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