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Organization

SCOTT FREEMAN, D.M.D., P.A.

Active
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Organization

SCOTT FREEMAN, D.M.D., P.A.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SCOTT DOUGLAS FREEMAN D.M.D. (PEDIATRIC DENTIST)
(208) 377-2150
Entity
Organization

Contact information

Practice address
6363 W EMERALD ST, #101, BOISE, ID 83704-8783
(208) 377-2150
(208) 377-3930
Mailing address
6363 W EMERALD ST, #101, BOISE, ID 83704-8783
(208) 377-2150
(208) 377-3930

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
1479 PD
ID

Other

Enumeration date
08/06/2008
Last updated
08/06/2008
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