Landon Dale Broussard, DDS

NPI #1962159368 in Greenwell Springs, Louisiana

Provider Information

NPI Number
1962159368
Entity Type
Individual
Name
Landon Dale Broussard, DDS
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist
Credential
DDS
Enumeration Date
Mar 5, 2022
Last Updated
May 23, 2022

Practice Location

Address
16606 GREENWELL SPRINGS RD
ZIP Code
70739-4128
Phone
(225) 262-4150

Specialties & Taxonomy Codes

Specialty
Student in an Organized Health Care Education/Training Program
Dentist

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