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DR. ADA LAVONNA FRAZIER DO

General Practice >> Dentist >> Dental Providers

Registrant NPI Number: 1124285416

Individual Registrant:
DR. ADA LAVONNA FRAZIER DO
Gender: F
Sole Proprietor

Location and contact information for practice:
11808 HWY 231 431 N  MERIDIANVILLE, AL 35759-2126 US
Tel: 256-828-1500  Fax: 256-828-1515

Contact information for business:
PO BOX 468 11808 HWY 231/431 N MERIDIANVILLE, AL 35759-2126 US
Tel: 256-828-1500  Fax: 256-828-1515

Registration Information:
NPI: 1124285416
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1223G0001XDental Providers
Dentist
General Practice
ALDS4310

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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