Individual
AIME BROYLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
680 SE BAYBERRY LN, SUITE 105, LEES SUMMIT, MO 64063-4386
(816) 525-5257
(816) 525-6050
Mailing address
680 SE BAYBERRY LN, SUITE 105, LEES SUMMIT, MO 64063-4386
(816) 525-5257
(816) 525-6050
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2007037234
MO
1223G0001X
General Practice Dentistry
6970
KS
Other
Enumeration date
04/15/2009
Last updated
07/07/2011
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