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NPI Code Detail

MEDICARE: RITA WILHELMINA FRAZIER D.D.S.

MEDICARE: RITA WILHELMINA FRAZIER D.D.S.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist0401006012VA

General Provider Information

NPI Number : 1417979238
Entity Type Code : Individual
Provider Name (Legal Business Name) : RITA WILHELMINA FRAZIER D.D.S.
Provider Business Mailing Address
First Line : 136 E LITTLE CREEK RD
Second Line :
City : NORFOLK
State : VA
Zip : 23505-2503
Country : US
Telephone Number : 757-587-6399
Fax Number :
Provider Business Practice Location Address
First Line : 136 E LITTLE CREEK RD
Second Line :
City : NORFOLK
State : VA
Zip : 23505-2503
Country : US
Telephone Number : 757-587-6399
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/24/2006
Last Update Date : 07/08/2007

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Directions to “ RITA WILHELMINA FRAZIER D.D.S.” Practice Location

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