Organization
ROBERT L BROADY DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT LEE BROADY DDS (PRESIDENT)
(314) 355-5851
Entity
Organization
Contact information
Practice address
158 MAYFAIR PLAZA, FLORISSANT, MO 63033-8008
(314) 355-5851
(314) 355-5852
Mailing address
158 MAYFAIR PLAZA, FLORISSANT, MO 63033-8008
(314) 355-5851
(314) 355-5852
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12980
MO
Other
Enumeration date
02/27/2006
Last updated
08/22/2020
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