Organization
BROUSSARD FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHERRY BROUSSARD DDS (DENTIST, OWNER)
(251) 463-0446
Entity
Organization
Contact information
Practice address
2645 MANHATTAN BLVD STE D5, HARVEY, LA 70058-3386
(504) 367-0355
Mailing address
2645 MANHATTAN BLVD STE D5, HARVEY, LA 70058-3386
(504) 367-0355
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/23/2023
Last updated
08/29/2023
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