| Keven Freeman Dmd Pllc | |
|
616 S 10th Ave Caldwell ID 83605-4112 | |
| (208) 454-0473 | |
| Not Available |
| Full Name | Keven Freeman Dmd Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 616 S 10th Ave, Caldwell, Idaho |
| Authorized Official Name and Position | Keven Freeman (OWNER) |
| Authorized Official Contact | 8015206325 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Keven Freeman Dmd Pllc 616 S 10th Ave Caldwell ID 83605-4112 Ph: () - | Keven Freeman Dmd Pllc 616 S 10th Ave Caldwell ID 83605-4112 Ph: (208) 454-0473 |
| NPI Number | 1356879720 |
|---|---|
| Provider Enumeration Date | 05/30/2017 |
| Last Update Date | 05/30/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356879720 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | D-4834 (Idaho) | Primary |
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