Zachary T Frazier Dds Pc

NPI 1982083135 - Dentist - 1223X0400X

NPI Details
NPI 1982083135
Enumeration Date 05/20/2015
Last Updated 05/20/2015
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name ZACHARY T ZACHARY
Position PRESIDENT
Phone (630) 541-3696
Fax (630) 541-9179
Practice Location
4909 FOREST AVE
DOWNERS GROVE IL, 60515-3509, US
Phone (630) 541-3696
Fax (630) 541-9179
Business Location
4909 FOREST AVE
DOWNERS GROVE IL, 60515-3509, US
Phone (630) 541-3696
Fax (630) 541-9179
Toxanomy
Taxonomy Code 1223X0400X
License State Illinois
License Number 019028645
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According to our database, Zachary T Frazier Dds Pc NPI is 1982083135, taxonomy code is 1223X0400X and license number is 019028645, license state is located at Illinois. Zachary T Frazier Dds Pc physically located at 4909 Forest Ave, Downers Grove IL, 60515-3509. NPI Number 1033115704 has the healthcare provider type.

1982083135 NPI number is provided on an as is basis without warranty of any kind. 1982083135 is maintained by the National Plan & Provider Enumeration System. The contents of Zachary T Frazier Dds Pc are for informational purposes only.