DR. Jack S Broussard, D.D.S. is a general practice dentist in Pasadena, CA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. DR. Jack S Broussard, D.D.S. NPI is 1821093832. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
301 S FAIR OAKS AVE
STE 204
PASADENA, CA
ZIP 91105-536
Phone: (626) 796-3161
Fax: (626) 796-6760
The enumeration date for this NPI number is 6/16/2005 and was last updated on 10/25/2007.