MR. RAYMOND BROUSSARD, DDS

Dentist

Active Individual
NPI: 1558478560

Practice Address

1724 GRANDE BLVD
Rio Rancho, NM 87124

Phone: (505) 896-0245

Specialties

Specialty Code Primary License
Dentist 122300000X Yes DD1745 (NM)

Frequently Asked Questions

NPI 1558478560 is the National Provider Identifier for MR. RAYMOND BROUSSARD, DDS, a Dentist provider located in Rio Rancho, NM. This NPI was enumerated on August 24, 2006.
MR. RAYMOND BROUSSARD, DDS practices at 1724 GRANDE BLVD, Rio Rancho, NM 87124.

Quick Facts

NPI
1558478560
Type
Individual
Enumerated
Aug 24, 2006
Last Updated
Jul 8, 2007

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