Keven Freeman Dmd Pllc

NPI #1356879720 in Caldwell, Idaho

Provider Information

NPI Number
1356879720
Entity Type
Organization
Organization Name
Keven Freeman Dmd Pllc
Primary Specialty
Clinic/Center - Dental
Enumeration Date
May 30, 2017
Last Updated
May 30, 2017

Practice Location

Address
616 S 10TH AVE
State
Idaho
ZIP Code
83605-4112
Phone
(208) 454-0473

Authorized Official

Name
KEVEN FREEMAN, DMD
Title
OWNER
Phone
(801) 520-6325

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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