DR. Gordon Cleland Fraser JR., DMD

NPI #1306034871 in Conyers, Georgia

Provider Information

NPI Number: 1306034871
Entity Type: Individual
Name: DR. Gordon Cleland Fraser JR., DMD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - Periodontics
Credential: DMD
Enumeration Date: Oct 10, 2007
Last Updated: May 3, 2016

Practice Location

Address: 1916 IRIS DRIVE
City: Conyers
State: Georgia
ZIP Code: 30094
Phone: (770) 483-4469

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Periodontics — Periodontics	1223P0300X	Primary

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