Individual
MR. BILLY FREDERICK BOOTY JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1962 O' NEAL LANE, #A & B, BATON ROUGE, LA 70816
(225) 753-5303
(225) 753-3921
Mailing address
1962 O' NEAL LANE, #A & B, BATON ROUGE, LA 70816
(225) 753-5303
(225) 753-3921
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5311
LA
Other
Enumeration date
12/06/2006
Last updated
07/29/2015
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