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Individual

DR. JAMES BRADLEY FRUGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS, MS

Contact information

Practice address
12061 BRICKSOME AVE, BATON ROUGE, LA 70816-2339
(225) 292-6991
Mailing address
12061 BRICKSOME AVE, BATON ROUGE, LA 70816-2339
(225) 292-6991

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
5636
LA

Other

Enumeration date
01/15/2020
Last updated
01/15/2020
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