Individual
TYLER FREEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7300 N PERIMETER RD, MALMSTROM AFB, MT 59402-6701
(406) 731-2531
Mailing address
7300 N PERIMETER RD, MALMSTROM AFB, MT 59402-6701
(406) 731-2531
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30.027121
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/10/2023
Last updated
08/05/2024
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