Individual
CHERRY ANN BROUSSARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2645 MANHATTAN BLVD STE D5, HARVEY, LA 70058-3386
(504) 367-0355
(504) 266-0021
Mailing address
2645 MANHATTAN BLVD STE D5, HARVEY, LA 70058-3386
(504) 367-0355
(504) 266-0021
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6964
LA
Other
Enumeration date
04/08/2019
Last updated
07/07/2022
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