Individual
DR. MIKAELA FRAZIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
5126 DORSEY HALL DR, ELLICOTT CITY, MD 21042-7887
(410) 740-9400
Mailing address
5126 DORSEY HALL DR, ELLICOTT CITY, MD 21042-7887
(410) 740-9400
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
16772
MD
1223G0001X
General Practice Dentistry
DS041287
PA
Other
Enumeration date
05/31/2017
Last updated
12/02/2022
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