Individual
KIMBERLY FREEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
501 VERDAE BLVD, GREENVILLE, SC 29607-4021
(864) 335-0505
Mailing address
501 VERDAE BLVD, GREENVILLE, SC 29607-4021
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
10925
SC
Other
Enumeration date
10/14/2024
Last updated
10/14/2024
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