Individual
JULIE FREEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
7015 DEXTER ANN ARBOR RD, DEXTER, MI 48130-8568
(734) 580-2921
Mailing address
3039 FIELDSTONE DR, DEXTER, MI 48130-8628
(704) 517-6161
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
2901021178
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2901021178
PEDIATRIC DENTAL LICENSE
—
Enumeration date
05/02/2014
Last updated
07/21/2022
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