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Mark A Broussard, DDS
General Practice Dentistry in Crowley, Louisiana
NPI 1083783302

Mark A Broussard is a General Practice Dentistry based in Crowley, LA and is specialized in General Practice. Mark A Broussard practices in Crowley, LA and has the professional credentials of DDS. The NPI Number for Mark A Broussard is 1083783302 and holds a License No. LA4905 (Louisiana).

The current practice location address for Mark A Broussard is 608 North Avenue K, Crowley, LA and can be reached out via phone at 337-788-0677 and via fax at 337-783-0343.

Location: 608 North Avenue K, Crowley, LA, 70526
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1083783302
Provider Name
Mark A Broussard
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
608 North Avenue K, Crowley, LA, 70526
Phone Number
337-788-0677
Fax Number
337-783-0343
Provider Enumeration Date
11/08/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
608 North Avenue K
City
Crowley
State
Louisiana
Zip
70526
Phone Number
337-788-0677
Fax Number
337-783-0343
person
Provider Business Mailing Address Details
Address
608 North Avenue K
City
Crowley
State
Louisiana
Zip
70526
Phone Number
337-788-0677
Fax Number
337-783-0343
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
LA4905 (Louisiana)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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