Dr. Jack S Broussard Jr., DDS
Dr. Jack S Broussard Jr., DDS is a General Practice Dentistry in Pasadena, California. Practices as a sole proprietor. Licensed in California.
- Licensed in
- CA
- In the registry since
- 2005
What do these letters mean?
- DDS — Doctor of Dental Surgery
- A dentist. DDS and DMD are the same qualification — universities choose which title to award.
Practice location Address checks out
301 S Fair Oaks Ave Ste 204Pasadena, CA 91105-2536
Phone: (626) 796-3161
Fax: (626) 796-6760
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence DN26040 (CA) |
|---|
Record details
| NPI number | 1821093832 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | DDS |
| Sole proprietor | Yes |
| NPI enumerated | June 16, 2005 |
| Last updated in NPPES | October 25, 2007 |
| Mailing address | 301 S Fair Oaks Ave, Ste 204, Pasadena, CA 91105-2536 |
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Emily Yimiao Chen, DDS
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