Jerry Evan Frasure, DMD Valid NPI
Individual provider · General Practice Dentistry · Cedarville, OH
- NPI
- 1013075282
- Type
- Individual (Type 1)
- Primary specialty
- General Practice Dentistry (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223G0001X
- License number
- 15428 (OH)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2006-12-04
- Last updated
- 2007-07-08
Practice location
400 N Main St
Cedarville, OH 45314
(937) 766-5207