Individual
BRYAN PRESTON FRICHTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1230 S MORRISON BLVD, HAMMOND, LA 70403-5702
(985) 902-4477
(985) 419-0018
Mailing address
1230 S MORRISON BLVD, HAMMOND, LA 70403-5702
(985) 902-4477
(985) 419-0018
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
3683
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1836834
—
LA
01
—
550794
UNITED CONCORDIA
LA
01
—
A1929
BLUE CROSS DENTAL
LA
Enumeration date
10/24/2006
Last updated
07/09/2007
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