Individual
DR. IVAN L FREEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1201 NE 7TH ST, SUITE A, GRANTS PASS, OR 97526-1451
(541) 474-4360
(541) 474-0685
Mailing address
1418 NW HAWTHORNE AVE, GRANTS PASS, OR 97526-1214
(541) 474-9381
(541) 474-0685
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D6833
OR
Other
Enumeration date
03/09/2006
Last updated
09/05/2007
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