DR. JACK BROUSSARD JR., D.D.S.
Dentist - General Practice
Active
Individual
NPI: 1821093832
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist - General Practice | 1223G0001X | Yes | DN26040 (CA) |
Frequently Asked Questions
NPI 1821093832 is the National Provider Identifier for DR. JACK BROUSSARD JR., D.D.S., a Dentist - General Practice provider located in Pasadena, CA. This NPI was enumerated on June 16, 2005.
DR. JACK BROUSSARD JR., D.D.S. practices at 301 S FAIR OAKS AVE, STE 204, Pasadena, CA 91105.
Quick Facts
- NPI
- 1821093832
- Type
- Individual
- Enumerated
- Jun 16, 2005
- Last Updated
- Oct 25, 2007
Nearby Providers
-
DR. ROBERT WEISSMAN, AU.D.
Audiologist
-
MRS. KATHY WALKER, M.D. FACOG
Obstetrics & Gynecology
-
KRISTEN ANDERSON
Marriage & Family Therapist
-
TIFFANY LINVILLE, MPT
Physical Therapist - Orthopedic
-
BLUE RIVER HOSPICE INC
Hospice Care, Community Based