Avis Broussard, D,D.S

NPI 1154543833 · on the registry since 2007 · sole proprietor

Practice

Address: 24800 Lahser Rd
Southfield, MI 48034
Phone: (248) 357-1999
Fax: (248) 357-6014
Organisation at this address: Map Dental Pllc
Tru Dental Michigan Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 2

Registry record

Primary taxonomy: Dentist
122300000X
Licence states on file: MI
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan