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 |
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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 |
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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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