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1386703544
BILLY FREDERICK BOOTY
BATON ROUGE, LA
NPI
1386703544
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: LA 5311)
Enumeration Date
2006-12-06
Last Update Date
2015-07-29
Business Address
Mr. BILLY FREDERICK BOOTY DDS
1962 O' NEAL LANE #A & B
BATON ROUGE, LA 70816
Phone number: 225-753-5303
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Mailing Address
Mr. BILLY FREDERICK BOOTY DDS
1962 O' NEAL LANE #A & B
BATON ROUGE, LA 70816
Phone number: 225-753-5303
Copy
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