Individual
KENNETH FREDERICK FREER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
15 ROTARY WAY, VALLEJO, CA 94591-8475
(707) 643-2307
(707) 643-7208
Mailing address
15 ROTARY WAY, VALLEJO, CA 94591-8475
(707) 643-2307
(707) 643-7208
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
21454
CA
Other
Enumeration date
01/18/2007
Last updated
07/08/2007
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