DR. Charles Henry Broussard, D.D.S.
NPI #1598872558 in Morgan City, Louisiana
Provider Information
- NPI Number
- 1598872558
- Entity Type
- Individual
- Name
- DR. Charles Henry Broussard, D.D.S.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- D.D.S.
- Enumeration Date
- Aug 24, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 1255 BELLEVIEW ST
- City
- Morgan City
- State
- Louisiana
- ZIP Code
- 70380-5351
- Phone
- (985) 395-4100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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