Individual
DR. BRIAN ROBERT FRAIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
604 E BOULEVARD, KOKOMO, IN 46902-2200
(765) 864-2325
Mailing address
815 GARDENBROOK CIR APT B, INDIANAPOLIS, IN 46202-4668
(317) 213-3604
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12012702A
IN
Other
Enumeration date
05/31/2017
Last updated
05/31/2017
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