Organization
SCOTT FREEMAN, D.M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT DOUGLAS FREEMAN D.M.D. (PEDIATRIC DENTIST)
(208) 377-2150
Entity
Organization
Contact information
Practice address
6363 W EMERALD ST, #101, BOISE, ID 83704-8783
(208) 377-2150
(208) 377-3930
Mailing address
6363 W EMERALD ST, #101, BOISE, ID 83704-8783
(208) 377-2150
(208) 377-3930
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
1479 PD
ID
Other
Enumeration date
08/06/2008
Last updated
08/06/2008
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