Individual
DR. BRIAN ERIC FUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
802 RIVERSIDE DRIVE, FRANKLINTON, LA 70638
(985) 839-5630
Mailing address
PO BOX 563, FRANKLINTON, LA 70438
(985) 839-5630
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
25-83
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1825832
—
LA
Enumeration date
09/07/2006
Last updated
07/08/2007
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