Individual
LARISSA E FREYTAG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
9740 N ORACLE RD STE 100, ORO VALLEY, AZ 85704-7614
(520) 365-6703
Mailing address
11880 COLLEGE BLVD STE 202, OVERLAND PARK, KS 66210-2188
(913) 951-0757
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
60581
KS
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
D009179
AZ
Other
Enumeration date
10/12/2011
Last updated
05/21/2020
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