Search › Minnesota › 1223G0001X
Bryan Broussard, D.D.S
NPI 1659761351 · on the registry since 2015
Practice
- Address
- 1027 2nd Ave
Worthington, MN 56187 - Phone
- (507) 372-7339
- Organisation at this address
- E.T. Mcniece Dds, P.A.
Applewhite Dental Minnesota, P.C.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-02-02
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 Minnesota