Individual provider · Type 1 NPI
Eric D. Fraser, DDS MS
Orthodontics and Dentofacial Orthopedics Dentistry · Santa Rosa, CA
Practice location
140 Stony Point Rd, Suite K
Santa Rosa, CA 95401-4140
Fax (707) 578-5586
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry Primary | 1223X0400X | 37220 (CA) |
Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…
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About NPI 1366615932
Eric D. Fraser, DDS MS's National Provider Identifier is 1366615932, issued on Apr 3, 2008. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Santa Rosa, CA. The record was last updated on Apr 3, 2008.