| Ross A. Fraser, Dds Pc | |
|
7627 Lake St Suite 200 River Forest IL 60305-1878 | |
| (708) 366-6001 | |
| (708) 366-6076 |
| Full Name | Ross A. Fraser, Dds Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 7627 Lake St, River Forest, Illinois |
| Authorized Official Name and Position | Ross Andrew Fraser (OWNER) |
| Authorized Official Contact | 7083666001 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ross A. Fraser, Dds Pc 7627 Lake St Suite 200 River Forest IL 60305-1878 Ph: (708) 366-6001 | Ross A. Fraser, Dds Pc 7627 Lake St Suite 200 River Forest IL 60305-1878 Ph: (708) 366-6001 |
| NPI Number | 1790982486 |
|---|---|
| Provider Enumeration Date | 06/27/2007 |
| Last Update Date | 08/05/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790982486 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (Illinois) | Primary |
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