Conyers Dentures & Implant Center

NPI #1487842951 in Conyers, Georgia

Provider Information

NPI Number
1487842951
Entity Type
Organization
Organization Name
Conyers Dentures & Implant Center
Primary Specialty
Dentist - Periodontics
Enumeration Date
Oct 10, 2007
Last Updated
May 2, 2016

Practice Location

Address
1916 IRIS DRIVE, SW
State
Georgia
ZIP Code
30094
Phone
(770) 483-4469

Authorized Official

Name
DR. GORDON CLELAND FRASER JR., DMD
Title
DENTIST
Phone
(770) 483-4469

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice
Dentist - PeriodonticsPeriodontics

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Provider Name
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