Individual
QUANTEZ FREEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
12012402A
IN
1223G0001X
General Practice Dentistry
16589
MD
1223P0221X
Pediatric Dentistry
Primary
11466
TN
1223P0221X
Pediatric Dentistry
16589
MD
Other
Enumeration date
07/27/2015
Last updated
09/15/2022
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