Individual
DR. CONRAD FERDINAND FREY III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S, M.S.
Contact information
Practice address
185 S BEADLE RD, BUILDING 1, SUITE C, LAFAYETTE, LA 70508-4287
(337) 354-0004
(337) 354-0005
Mailing address
185 S BEADLE RD, BUILDING 1, SUITE C, LAFAYETTE, LA 70508-4287
(337) 354-0004
(337) 354-0005
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
4783
LA
Other
Enumeration date
11/13/2006
Last updated
07/08/2007
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