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Chelsea Brossart

Dentist in San Marcos, TX. Individual provider (NPI-1).

NPI number1326780982
StatusActive
Last updated in NPPESAug 8, 2023

Details

NPI
1326780982
Entity type
Individual (NPI-1)
Name
Chelsea Brossart
Sex
Female
Sole proprietor
No
Enumeration date
Apr 12, 2022
Certification date
Aug 8, 2023
Last updated
Aug 8, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X Dentist39897TXYes
390200000X Student in an Organized Health Care Education/Training Program––

Practice location

651 Barnes Dr Unit 2
San Marcos, TX 78666-6198

Phone 512-640-7164

Mailing address

1000 Blythe Blvd
Charlotte, NC 28203-5812

Other practice locations

1000 Blythe Blvd
Charlotte, NC 28203-5812

Phone 704-355-2165

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