Individual
DR. JASON PELSER FRESHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
384 LOWELL STREET, SUITE 106, WAKEFIELD, MA 01880
(781) 245-5788
(781) 245-5793
Mailing address
384 LOWELL STREET, SUITE 106, WAKEFIELD, MA 01880
(781) 245-5788
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10767
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
X03643
BCBS
MA
Enumeration date
07/25/2006
Last updated
07/08/2007
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