| Irene Aves Broyles DDS PC | |
|
209 S Washington St Raymore MO 64083-9729 | |
| (816) 331-3456 | |
| Not Available |
| Full Name | Irene Aves Broyles DDS PC |
|---|---|
| Speciality | Dentist |
| Location | 209 S Washington St, Raymore, Missouri |
| Authorized Official Name and Position | Irene Aves Broyles (OWNER) |
| Authorized Official Contact | 8163313456 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Irene Aves Broyles DDS PC Po Box 1125 Raymore MO 64083-1125 Ph: (816) 331-3456 | Irene Aves Broyles DDS PC 209 S Washington St Raymore MO 64083-9729 Ph: (816) 331-3456 |
| NPI Number | 1669711321 |
|---|---|
| Provider Enumeration Date | 01/31/2013 |
| Last Update Date | 01/31/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669711321 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | () | Primary |
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