Joshua Frazer

NPI #1154012623 in Shallotte, North Carolina

Provider Information

NPI Number: 1154012623
Entity Type: Individual
Name: Joshua Frazer
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Enumeration Date: May 16, 2023
Last Updated: Aug 3, 2023

Practice Location

Address: 113 SMITH AVE UNIT 5
City: Shallotte
State: North Carolina
ZIP Code: 28470-4756
Phone: (980) 296-2473

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X
Dentist - General Practice — General Practice	1223G0001X	Primary

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