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Organization
ROSS A. FRASER, DDS PC
Active
Organization
ROSS A. FRASER, DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROSS ANDREW FRASER D.D.S. (OWNER)
(708) 366-6001
Entity
Organization
Contact information
Practice address
7627 LAKE ST, SUITE 200, RIVER FOREST, IL 60305-1878
(708) 366-6001
(708) 366-6076
Mailing address
7627 LAKE ST, SUITE 200, RIVER FOREST, IL 60305-1878
(708) 366-6001
(708) 366-6076
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Enumeration date
06/27/2007
Last updated
08/05/2007
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