Jay Richard Froug DMD

NPI 1639308174 - Dentist - 1223G0001X

NPI Details
NPI 1639308174
Gender Male
Enumeration Date 07/06/2009
Last Updated 07/06/2009
Entity Type Individual
Active Over 8 years ago
Practice Location
4868 CORTEZ RD W
BRADENTON FL, 34210-2803, US
Phone (941) 795-0877
Fax (941) 792-2373
Business Location
4868 CORTEZ RD W
BRADENTON FL, 34210-2803, US
Phone (941) 795-0877
Fax (941) 792-2373
Toxanomy
Taxonomy Code 1223G0001X
License State Florida
License Number DN0010494
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According to our database, Dr. Jay Richard Froug DMD NPI is 1639308174, taxonomy code is 1223G0001X and license number is DN0010494, license state is located at Florida. Jay Richard Froug DMD physically located at 4868 Cortez Rd W, Bradenton FL, 34210-2803. NPI Number Jay Richard Froug DMD has the Individual type.

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1639308174 NPI number is provided on an as is basis without warranty of any kind. 1639308174 is maintained by the National Plan & Provider Enumeration System. The contents of Jay Richard Froug DMD are for informational purposes only.