Organization · Type 2 NPI

Rayfus J Broussard, DDS Inc

Orthodontics and Dentofacial Orthopedics Dentistry · Beaumont, TX

NPI number 1669743498 Active

Practice location

1120 Longfellow Dr
Beaumont, TX 77706-4845

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400X11407 (TX)

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1669743498

Rayfus J Broussard, DDS Inc's National Provider Identifier is 1669743498, issued on Jan 25, 2012. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Beaumont, TX. The record was last updated on Jan 25, 2012.