Organization
ZACHARY T FRAZIER DDS PC
Active
Other names
Zach Frazier Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
ZACHARY T FRAZIER DDS (PRESIDENT)
(630) 541-3696
Entity
Organization
Contact information
Practice address
4909 FOREST AVE, DOWNERS GROVE, IL 60515-3509
(630) 541-3696
(630) 541-9179
Mailing address
4909 FOREST AVE, DOWNERS GROVE, IL 60515-3509
(630) 541-3696
(630) 541-9179
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
019028645
IL
Other
Enumeration date
05/20/2015
Last updated
05/20/2015
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