Organization
C FARRELL FRUGE JR DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CECIL FARRELL FRUGE JR. D.D.S. (OWNER)
(225) 292-9700
Entity
Organization
Contact information
Practice address
11811 COURSEY BLVD, SUITE A, BATON ROUGE, LA 70816-4490
(225) 292-9700
(225) 292-9701
Mailing address
11811 COURSEY BLVD, SUITE A, BATON ROUGE, LA 70816-4490
(225) 292-9700
(225) 292-9701
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
4180
LA
Other
Enumeration date
09/22/2010
Last updated
09/19/2011
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