Individual
EARL GEORGE FREYMILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
10833 LE CONTE AVE, AO-156, LOS ANGELES, CA 90095-1668
(310) 825-0834
Mailing address
5767 W CENTURY BLVD, SUITE 400, LOS ANGELES, CA 90045-5631
(310) 825-0863
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
SP 139
CA
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
SP139
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
D00139
—
CA
Enumeration date
05/14/2007
Last updated
03/26/2013
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