| Frazier & Kopp Dds Pc | |
|
690 N Il Route 31 Crystal Lake IL 60012-3790 | |
| (815) 477-4055 | |
| (815) 477-4057 |
| Full Name | Frazier & Kopp Dds Pc |
|---|---|
| Speciality | Dentist |
| Location | 690 N Il Route 31, Crystal Lake, Illinois |
| Authorized Official Name and Position | Joseph I Frazier (PRESIDENT) |
| Authorized Official Contact | 8154774055 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Frazier & Kopp Dds Pc 690 N Il Route 31 Crystal Lake IL 60012-3790 Ph: (815) 477-4055 | Frazier & Kopp Dds Pc 690 N Il Route 31 Crystal Lake IL 60012-3790 Ph: (815) 477-4055 |
| NPI Number | 1871662486 |
|---|---|
| Provider Enumeration Date | 11/07/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871662486 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (Illinois) | Primary |
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