Bryan Broussard, D.D.S.
NPI #1659761351 in Worthington, Minnesota
Provider Information
- NPI Number
- 1659761351
- Entity Type
- Individual
- Name
- Bryan Broussard, D.D.S.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- D.D.S.
- Enumeration Date
- Feb 2, 2015
- Last Updated
- Feb 2, 2015
Practice Location
- Address
- 1027 2ND AVE
- City
- Worthington
- State
- Minnesota
- ZIP Code
- 56187-2380
- Phone
- (507) 372-7339
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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