Individual
DR. SHAUN FREEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
10780 RANDOLPH ST, CROWN POINT, IN 46307-7615
(219) 663-6878
Mailing address
10780 RANDOLPH ST, CROWN POINT, IN 46307-7615
(219) 663-6878
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019.030130
IL
122300000X
Dentist
Primary
12012582A
IN
Other
Enumeration date
06/03/2014
Last updated
08/31/2016
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