DR. Ivan L Freeman, D.D.S.

NPI #1922076652 in Grants Pass, Oregon

Provider Information

NPI Number: 1922076652
Entity Type: Individual
Name: DR. Ivan L Freeman, D.D.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: D.D.S.
Enumeration Date: Mar 9, 2006
Last Updated: Sep 5, 2007

Practice Location

Address: 1201 NE 7TH ST
Address 2: SUITE A
City: Grants Pass
State: Oregon
ZIP Code: 97526-1451
Phone: (541) 474-4360

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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