Individual
DR. CHARLES HENRY BROUSSARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1255 BELLEVIEW ST, MORGAN CITY, LA 70380-5351
(985) 395-4100
Mailing address
1255 BELLEVIEW ST, MORGAN CITY, LA 70380-5351
(985) 395-4100
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4862
LA
Other
Enumeration date
08/24/2006
Last updated
07/08/2007
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