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1780823484
JOEL EARL BROUSSARD
AUSTIN, TX
NPI
1780823484
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: TX 8751)
Enumeration Date
2009-02-19
Last Update Date
2009-02-19
Business Address
Dr. JOEL EARL BROUSSARD DDS,MS
11149 RESEARCH SUITE 270
AUSTIN, TX 78759-5279
Phone number: 512-349-9443
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Mailing Address
Dr. JOEL EARL BROUSSARD DDS,MS
11149 RESEARCH SUITE 270
AUSTIN, TX 78759-5279
Phone number: 512-349-9443
Copy
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