Organization
FRUGE ORTHODONTICS
Active
Organization
FRUGE ORTHODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE BLANCHARD MITCHELL (ACCOUNTS MANAGER)
(225) 292-6991
Entity
Organization
Contact information
Practice address
12061 BRICKSOME AVE, BATON ROUGE, LA 70816-2339
(225) 292-6991
(225) 292-7210
Mailing address
12061 BRICKSOME AVE, BATON ROUGE, LA 70816-2339
(225) 292-6991
(225) 292-7210
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
3141
LA
Other
Enumeration date
03/22/2007
Last updated
08/22/2020
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