Robert L Broady DDS PC

NPI #1780650069 in Florissant, Missouri

Provider Information

NPI Number: 1780650069
Entity Type: Organization
Organization Name: Robert L Broady DDS PC
Primary Specialty: Dentist
Enumeration Date: Feb 27, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 158 MAYFAIR PLAZA
City: Florissant
State: Missouri
ZIP Code: 63033-8008
Phone: (314) 355-5851

Authorized Official

Name: DR. ROBERT LEE BROADY, DDS
Title: PRESIDENT
Phone: (314) 355-5851

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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