| Fraiz Dental Group P.c. | |
|
604 E Boulevard Ste A Kokomo IN 46902-2286 | |
| (765) 864-2325 | |
| (765) 453-6920 |
| Full Name | Fraiz Dental Group P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 604 E Boulevard Ste A, Kokomo, Indiana |
| Authorized Official Name and Position | Brian Robert Fraiz (PRESIDENT) |
| Authorized Official Contact | 3172133604 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fraiz Dental Group P.c. 604 E Boulevard Ste A Kokomo IN 46902-2286 Ph: (765) 864-2325 | Fraiz Dental Group P.c. 604 E Boulevard Ste A Kokomo IN 46902-2286 Ph: (765) 864-2325 |
| NPI Number | 1801390992 |
|---|---|
| Provider Enumeration Date | 03/22/2018 |
| Last Update Date | 03/22/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801390992 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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