Individual
CHELSEA BROSSART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
651 BARNES DR UNIT 2, SAN MARCOS, TX 78666-6198
(512) 640-7164
Mailing address
1000 BLYTHE BLVD, CHARLOTTE, NC 28203-5812
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
39897
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/12/2022
Last updated
08/08/2023
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