| Kenneth F Freer Dds Inc | |
|
15 Rotary Way Vallejo CA 94591-8475 | |
| (707) 643-2307 | |
| (707) 643-7208 |
| Full Name | Kenneth F Freer Dds Inc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 15 Rotary Way, Vallejo, California |
| Authorized Official Name and Position | Kenneth F Freer (PRESIDENT) |
| Authorized Official Contact | 7076432307 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth F Freer Dds Inc 15 Rotary Way Vallejo CA 94591-8475 Ph: (707) 643-2307 | Kenneth F Freer Dds Inc 15 Rotary Way Vallejo CA 94591-8475 Ph: (707) 643-2307 |
| NPI Number | 1043343130 |
|---|---|
| Provider Enumeration Date | 03/14/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043343130 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 3144 (California) | Primary |
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