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Individual

DR. KYLE BRYAN FRAZIER

Active
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Individual

DR. KYLE BRYAN FRAZIER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
27097
TX
1223P0106X
Oral and Maxillofacial Pathology Dentistry
27097
TX
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
27097
TX
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DS043990
PA

Other

Enumeration date
06/23/2011
Last updated
09/13/2023
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