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NPI Code Detail

MEDICARE: DR. THOMAS FRANCIS FRASER D.D.S.

MEDICARE: DR. THOMAS FRANCIS FRASER 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
11223G0001XGeneral Practice Dentistry11401FL

General Provider Information

NPI Number : 1578689915
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. THOMAS FRANCIS FRASER D.D.S.
Provider Business Mailing Address
First Line : 5651 CORPORATE WAY
Second Line : SUITE 1
City : WEST PALM BEACH
State : FL
Zip : 33407-2020
Country : US
Telephone Number : 561-689-0872
Fax Number : 561-683-9262
Provider Business Practice Location Address
First Line : 5651 CORPORATE WAY
Second Line : SUITE 1
City : WEST PALM BEACH
State : FL
Zip : 33407-2020
Country : US
Telephone Number : 561-689-0872
Fax Number : 561-683-9262
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/21/2007
Last Update Date : 07/08/2007

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