# DR. BRUCE ALLEN FRASER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1225177033
- **Gender:** Man
- **Credential:** DDS, MS

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0106X | Oral and Maxillofacial Pathology Dentistry | 30017340 | OH | Yes |

## Other

- **Enumeration date:** 02/06/2007
- **Last updated:** 11/16/2017