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1306034871
GORDON CLELAND FRASER
CONYERS, GA
NPI
1306034871
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223P0300X Dentist Periodontics
(Licence: GA DN012684)
Enumeration Date
2007-10-10
Last Update Date
2016-05-03
Business Address
DR. GORDON CLELAND FRASER DMD
1916 IRIS DRIVE
CONYERS, GA 30094
Phone number: 770-483-4469
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Mailing Address
DR. GORDON CLELAND FRASER DMD
P.O. BOX 2213
PEACHTREE CITY, GA 30269
Phone number: 770-483-4469
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