Individual
DR. FRAZIER NORMAN MOORE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
10300 COMPTON AVE, LOS ANGELES, CA 90002-3628
(323) 357-6603
(323) 771-7722
Mailing address
4501 DON ARTURO PL, LOS ANGELES, CA 90008-2803
(323) 293-0069
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
20418
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
D20418
—
CA
Enumeration date
09/17/2006
Last updated
07/08/2007
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