Individual
WILLIAM MARCUS FRASER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
108 N 11TH AVE, BOZEMAN, MT 59715-3262
(406) 586-9725
(406) 582-8159
Mailing address
108 N 11TH AVE, BOZEMAN, MT 59715-3262
(406) 586-9725
(406) 582-8159
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1344
MT
Other
Enumeration date
05/24/2007
Last updated
07/08/2007
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