Search › New Mexico › 122300000X
Kyra Vanden Broeck, DDS
NPI 1518571587 · on the registry since 2020
Practice
- Address
- 800 E 30th St Bldg 3
Farmington, NM 87401 - Phone
- (505) 327-9162
- Organisation at this address
- Summit Family Dental Of Farmington, Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Licence states on file
- NM
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-09-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Mexico