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Individual

DR. CECIL FARRELL FRUGE III

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
11811 COURSEY BLVD, BATON ROUGE, LA 70816-4490
(225) 292-9700
Mailing address
19232 SPYGLASS HILL DR, BATON ROUGE, LA 70809-6724
(225) 439-6671

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7187
LA

Other

Enumeration date
05/24/2021
Last updated
05/24/2021
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