Individual
DOREEN ELIZABETH FREEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH BS
Contact information
Practice address
229 CROCKETT BLVD, MERRITT ISLAND, FL 32953-4384
(321) 449-0833
(321) 449-0832
Mailing address
229 CROCKETT BLVD, MERRITT ISLAND, FL 32953-4384
(321) 449-0833
(321) 449-0832
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
4389
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DF1112MI
—
FL
Enumeration date
11/20/2020
Last updated
11/20/2020
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