Individual
LAURY ROUSSEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
200 NW 7TH AVE, FORT LAUDERDALE, FL 33311-9026
(954) 759-6610
(954) 759-6767
Mailing address
1700 NW 49TH ST STE 125, FORT LAUDERDALE, FL 33309-3750
(954) 759-6710
(954) 759-6767
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
DN28306
FL
Other
Enumeration date
06/28/2023
Last updated
04/03/2024
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