Individual
DR. EDWARD B. BROBST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6261 N. OAK TRAFFICWAY, GLADSTONE, MO 64118
(816) 413-8285
(816) 413-8662
Mailing address
6261 N. OAK TRAFFICWAY, GLADSTONE, MO 64118
(816) 413-8285
(816) 413-8662
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
MO. 14353
MO
1223G0001X
General Practice Dentistry
Primary
014353
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
402143200
—
MO
Enumeration date
07/12/2006
Last updated
08/19/2008
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