Individual
ZACHARY T. FRAZIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
376 LARRY POWER RD, BOURBONNAIS, IL 60914-4430
(815) 802-1217
Mailing address
376 LARRY POWER RD, BOURBONNAIS, IL 60914-4430
(815) 802-1217
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
021.002521
IL
Other
Enumeration date
05/03/2011
Last updated
08/14/2013
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