Broussard, Avis Marie
Broussard, Avis Marie is an sole proprietor health care provider with primary practice located at 24800 Lahser Rd , Southfield MI 48034-3237. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Broussard, Avis Marie can be contacted via phone (248) 357-1999.Contact Information
Primary practice address
24800 Lahser Rd
Southfield MI 48034-3237
Phone: (248) 357-1999
Fax: (248) 357-6014
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 11532 | Michigan |
Profile Details
| NPI number | 1154543833 |
|---|---|
| LBN Legal business name | Broussard, Avis Marie |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 3rd, 2007 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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