Individual
DR. DONALD VINCENT FREGEAU JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
569 S FORTUNA BLVD, FORTUNA, CA 95540-3002
(707) 725-4419
Mailing address
569 S FORTUNA BLVD, FORTUNA, CA 95540-3002
(707) 725-4419
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D27519
CA
Other
Enumeration date
07/19/2006
Last updated
07/08/2007
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