Individual
DR. CECIL FARRELL FRUGE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
11811 COURSEY BLVD, SUITE A, BATON ROUGE, LA 70816-4404
(225) 292-9700
(225) 292-9701
Mailing address
11811 COURSEY BLVD, SUITE A, BATON ROUGE, LA 70816-4404
(225) 292-9700
(225) 292-9701
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4180
LA
Other
Enumeration date
11/21/2006
Last updated
09/22/2010
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