Frazier & Kopp Dds Pc

NPI 1871662486 - Dentist - 122300000X

NPI Details
NPI 1871662486
Enumeration Date 11/07/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name JOSEPH I JOSEPH
Position PRESIDENT
Phone (815) 477-4055
Fax (815) 477-4057
Practice Location
690 N IL ROUTE 31
CRYSTAL LAKE IL, 60012-3790, US
Phone (815) 477-4055
Fax (815) 477-4057
Business Location
690 N IL ROUTE 31
CRYSTAL LAKE IL, 60012-3790, US
Phone (815) 477-4055
Fax (815) 477-4057
Toxanomy
Taxonomy Code 122300000X
License State
License Number
Remove 1871662486 NPI Number
 

According to our database, Frazier & Kopp Dds Pc NPI is 1871662486, taxonomy code is 122300000X Frazier & Kopp Dds Pc physically located at 690 N Il Route 31, Crystal Lake IL, 60012-3790. NPI Number 1033115704 has the healthcare provider type.

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1871662486 NPI number is provided on an as is basis without warranty of any kind. 1871662486 is maintained by the National Plan & Provider Enumeration System. The contents of Frazier & Kopp Dds Pc are for informational purposes only.