Individual
DR. MARK RICHARD FREESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
CG-1123 USCG HQ, 2100 SECOND ST., SW, RM 5314, WASHINGTON, DC 20593-0001
(202) 689-9046
Mailing address
CG-1123 USCG HQ, 2100 SECOND ST., SW, RM 5314, WASHINGTON, DC 20593-0001
(202) 689-9046
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE0008048
WA
Other
Enumeration date
03/13/2007
Last updated
07/08/2007
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