Individual
KIM FREEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA DMD MS
Contact information
Practice address
115 N DIXIE DR, STE 200, LAKE JACKSON, TX 77566
(979) 297-0633
Mailing address
115 N DIXIE DR, STE 200, LAKE JACKSON, TX 77566
(979) 297-0633
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
15151
TX
Other
Enumeration date
08/30/2006
Last updated
07/08/2007
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