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Individual

DR. SYLVIA A FRAZIER-BOWERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS, PHD

Contact information

Practice address
1121 W MICHIGAN ST, INDIANAPOLIS, IN 46202-5211
(317) 274-8304
Mailing address
1121 W MICHIGAN ST, INDIANAPOLIS, IN 46202-5211
(919) 923-5453

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
019.024587
IL
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
12014184A
IN
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
200001313058
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
12014184A
STATE LICENSE
IN
05
5903272
NC
Enumeration date
12/05/2006
Last updated
11/01/2024
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